Active NPI
Communicare Inc
- Community/Behavioral Health Agency
- Radcliff, KY
National Provider Identifier
1841337607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 800005
- Legal business name
- COMMUNICARE INC
- Practice address
- 1072 S Dixie Blvd
Radcliff, KY 40160-1103 - Phone
- (270) 351-8166
- Fax
- (270) 234-8572
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 25, 2022
- Organization subpart
- Yes
- Parent organization
- COMMUNICARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Wise
- Title
- Ceo
- Phone
- (270) 765-2605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 800005 | KY | Primary |
Addresses
Primary practice location
1072 S Dixie Blvd
Radcliff, KY 40160-1103
Mailing address
107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 465-2605
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19558500 | Other | KY | MAGELLAN |
| 2800501500 | Medicaid | KY | |
| 000000057131 | Other | KY | ANTHEM |
| 2448575000 | Other | KY | PASSPORT ADVANTAGE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Communicare Inc
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Campbellsville, KY
- NPI 1356324933
-
- Psychiatry Physician
- Elizabethtown, KY
- NPI 1306887500
-
- Clinical Social Worker
- Eglin AFB, FL
- NPI 1225595515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658707200000",
"number": "1841337607",
"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": "270-465-2605",
"fax_number": "270-234-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 S DIXIE BLVD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601103",
"telephone_number": "270-351-8166",
"fax_number": "270-234-8572"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNICARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMUNICARE INC",
"enumeration_date": "2007-01-31",
"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": "MAGELLAN",
"identifier": "19558500",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2800501500",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000057131",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2448575000",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.