NPIMap

Organization Active NPI

Health Care Academy, Inc

  • Specialist
  • Florence, KY
National Provider Identifier
1801078787
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35543 Issued in KY
Legal business name
HEALTH CARE ACADEMY, INC
Practice address
8820 Bankers St
Florence, KY 41042-4212
Phone
(859) 992-4660
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kheder Kutmah, MDNPI 1487666228
Title
Medical Director
Phone
(859) 992-4660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 35543 KY Primary

Addresses

Primary practice location

8820 Bankers St
Florence, KY 41042-4212

Mailing address

PO Box 304
Florence, KY 41022-0304
Phone (859) 992-4660

Other identifiers 2

IdentifierTypeStateIssuer
200829960MedicaidIN
64030786MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110623000553 IN Part B Supplier - Clinic/Group Practice 3072553478 Receives reassigned benefits from 4 practitioners
Practice locations: Charlestown, IN; Jeffersonville, IN; New Albany, IN; Scottsburg, IN
O20120423000684 KY Part B Supplier - Clinic/Group Practice 3072553478 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

1035 Wall St
Ste 104
Jeffersonvlle, IN 47130
Phone (502) 254-4014

7515 Preston Hwy
Louisville, KY 40219
Phone (502) 964-2440

7515 Preston Hwy
Ste 200
Louisville, KY 40219

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1801078787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410220304",
            "telephone_number": "859-992-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 BANKERS ST",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424212",
            "telephone_number": "859-992-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE ACADEMY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "KUTMAH",
        "authorized_official_first_name": "KHEDER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "859-992-4660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "35543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200829960",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64030786",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.