Organization Active NPI

Lake Cumberland Community Action Agency, Inc.

  • Taxi
  • Somerset, KY
National Provider Identifier
1841706488
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
LAKE CUMBERLAND COMMUNITY ACTION AGENCY, INC.
Practice address
255 S Maple St
Somerset, KY 42501-2198
Phone
(270) 343-4600
Fax
(270) 343-2800
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Alicie Polston, CPA
Title
Executive Director
Phone
(270) 343-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X Primary

Addresses

Primary practice location

255 S Maple St
Somerset, KY 42501-2198

Mailing address

PO Box 830
Jamestown, KY 42629-0830

Other names 1

  • Dunbar Intergenerational Center Adult Day Health Services Other name

National Provider Directory

National Provider Directory

Locations

255 S Maple St
Somerset, KY 42501
Phone (270) 343-4600

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1841706488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830",
            "city": "JAMESTOWN",
            "state": "KY",
            "postal_code": "426290830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S MAPLE ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012198",
            "telephone_number": "270-343-4600",
            "fax_number": "270-343-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND COMMUNITY ACTION AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "POLSTON",
        "authorized_official_first_name": "ALICIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-343-4600",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunbar Intergenerational Center Adult Day Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.