Organization Active NPI

Pole Homeschool Support Group & Resource Center, LLC

  • Social Worker
  • Louisa, KY
National Provider Identifier
1861244097
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
POLE HOMESCHOOL SUPPORT GROUP & RESOURCE CENTER, LLC
Practice address
417 N Rice Ave
Louisa, KY 41230-1250
Phone
(606) 638-0032
Fax
(606) 638-0032
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Gena Lynn Reno
Title
Chief Financial Officer
Phone
(502) 702-3983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

417 N Rice Ave
Louisa, KY 41230-1250

Mailing address

417 N Rice Ave
Louisa, KY 41230-1250
Phone (606) 638-0032

Other names 1

  • POLE Rescource Center, LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1861244097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N RICE AVE",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301250",
            "telephone_number": "606-638-0032",
            "fax_number": "606-638-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N RICE AVE",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301250",
            "telephone_number": "606-638-0032",
            "fax_number": "606-638-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLE HOMESCHOOL SUPPORT GROUP & RESOURCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "RENO",
        "authorized_official_first_name": "GENA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-702-3983"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLE Rescource Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisa, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.