NPIMap

Organization Active NPI

YMCA of Greater Louisville

  • Adult Day Care Clinic/Center
  • Louisville, KY
National Provider Identifier
1912054602
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
750124 Issued in KY
Legal business name
YMCA OF GREATER LOUISVILLE
Practice address
2800 Fordhaven Rd
Louisville, KY 40214-3960
Phone
(502) 933-9622
Fax
(502) 933-6309
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mr. Stephen Tarver
Title
President and Ceo
Phone
(502) 587-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 750124 KY Primary

Addresses

Primary practice location

2800 Fordhaven Rd
Louisville, KY 40214-3960

Mailing address

545 S 2ND St
Louisville, KY 40202-1801
Phone (502) 587-9622

Other identifiers 3

IdentifierTypeStateIssuer
56023898MedicaidKY
56025018MedicaidKY
43000280MedicaidKY

National Provider Directory

National Provider Directory

Locations

545 S 2nd St
Louisville, KY 40202
Phone (502) 572-2608

Practitioners & affiliated clinicians

Practitioners 4

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1912054602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 S 2ND ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021801",
            "telephone_number": "502-587-9622",
            "fax_number": "502-587-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FORDHAVEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143960",
            "telephone_number": "502-933-9622",
            "fax_number": "502-933-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF GREATER LOUISVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "TARVER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "502-587-9622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56023898",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56025018",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43000280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.