NPIMap

Organization Active NPI

Spectrum Care Academy, Inc.

  • Psychiatric Residential Treatment Facility
  • Elizabethtown, KY
National Provider Identifier
1881803484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
950018 Issued in KY
Legal business name
SPECTRUM CARE ACADEMY, INC.
Practice address
399 Fowler LN
Elizabethtown, KY 42701-8545
Phone
(270) 234-0591
Fax
(270) 234-0781
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Loy
Title
Accountant
Phone
(270) 384-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 950018 KY Primary

Addresses

Primary practice location

399 Fowler LN
Elizabethtown, KY 42701-8545

Mailing address

PO Box 911
Columbia, KY 42728-0911
Phone (270) 384-6444

Other identifiers 1

IdentifierTypeStateIssuer
04000022MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Spectrum Care Academy Glasgow I10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

399 Fowler Ln
Elizabethtown, KY 42701
Phone (270) 234-0591

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881803484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427280911",
            "telephone_number": "270-384-6444",
            "fax_number": "270-384-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 FOWLER LN",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018545",
            "telephone_number": "270-234-0591",
            "fax_number": "270-234-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CARE ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "270-384-6402"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KY",
            "license": "950018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04000022",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.