St Charles Care Center Inc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

101185 Issued in KY

Legal business name

ST CHARLES CARE CENTER INC

Practice address

600 Farrell Dr
Covington, KY 41011-5126

Phone

(859) 331-3224

Fax

(859) 292-1670

NPI assigned

Aug 29, 2005

Last updated

Aug 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nancy J Campbell

Title

Cfo

Phone

(859) 331-3224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1821081555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410115126",
            "telephone_number": "859-331-3224",
            "fax_number": "859-292-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FARRELL DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410115126",
            "telephone_number": "859-331-3224",
            "fax_number": "859-292-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "859-331-3224",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "KY",
            "license": "101185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Covington, KY
• Providers in Covington, KY by specialty
• Custodial Care Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.