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Communicare Inc

Organization Active NPI Community/Behavioral Health Agency · Elizabethtown, KY

NPI 1801933247 · NPPES record last updated Jul 25, 2022

Key facts

NPI
1801933247
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
800005 (KY)
Legal business name
COMMUNICARE INC
Practice address
1311 N Dixie Hwy
Elizabethtown, KY 42701-2621
Phone
(270) 765-2605
Fax
(270) 234-8572
NPI assigned
Feb 1, 2007
Organization subpart
Yes
Parent organization (as reported)
COMMUNICARE INC

Authorized official

Name
Lisa Wise
Title
Ceo
Phone
(270) 765-2605

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 27

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

View all 27

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031229000758 KY Part B Supplier - Clinic/Group Practice 9830097815 Receives reassigned benefits from 48 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hodgenville, KY; Lebanon, KY; Radcliff, KY; Springfield, KY; Leitchfield, KY; Elizabethtown, KY; Bardstown, KY; Brandenburg, KY…

National Provider Directory

Part of
Communicare Inc

Locations

519 Workshop Ln
Lebanon, KY 40033
Phone (270) 259-4652

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 800005 KY Yes

Addresses

Primary practice location

1311 N Dixie Hwy
Elizabethtown, KY 42701-2621

Mailing address

107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605

Other identifiers

IdentifierTypeStateIssuer
000000057131OtherKYANTHEM
050651000OtherKYMAGELLAN
2448575000OtherKYPASSPORT ADVANTAGE
3060501800MedicaidKY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 25, 2022.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1801933247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CRANES ROOST CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013650",
            "telephone_number": "270-765-2605",
            "fax_number": "270-234-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N DIXIE HWY",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012621",
            "telephone_number": "270-765-2605",
            "fax_number": "270-234-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNICARE INC",
        "enumeration_date": "2007-02-01",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-765-2605"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "800005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000057131",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "050651000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2448575000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3060501800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

All providers in Elizabethtown, KY · Community/Behavioral Health Agency in Kentucky

Sources for this page

Verify at the official NPI Registry.