East Kentucky Support Services Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

EAST KENTUCKY SUPPORT SERVICES INC

Practice address

35 Reel View Drive
Jeremiah, KY 41826-0133

Phone

(606) 633-7272

Fax

(606) 633-2793

NPI assigned

Jan 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Blair

Title

Office Manager Ceo

Phone

(606) 633-7272

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932250586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "address_2": "35 REEL VIEW DRIVE",
            "city": "JEREMIAH",
            "state": "KY",
            "postal_code": "418260133",
            "telephone_number": "606-633-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 REEL VIEW DRIVE",
            "city": "JEREMIAH",
            "state": "KY",
            "postal_code": "418260133",
            "telephone_number": "606-633-7272",
            "fax_number": "606-633-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST KENTUCKY SUPPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER CEO",
        "authorized_official_telephone_number": "606-633-7272",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33000829",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Jeremiah, KY
• Providers in Jeremiah, KY by specialty
• Mental Illness Community Based Residential Treatment Facility in Kentucky

• 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.