Raven Cares Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RAVEN CARES INC

Practice address

259 Old Flemingsburg Rd Ste 101
Morehead, KY 40351-1090

Phone

(859) 494-2656

NPI assigned

Jun 8, 2022

Organization subpart

No

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

Authorized official

Name

John David Elam

Title

President

Phone

(606) 207-6617

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1952030645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 OLD FLEMINGSBURG RD STE 101",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511090",
            "telephone_number": "606-356-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 OLD FLEMINGSBURG RD STE 101",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511090",
            "telephone_number": "859-494-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN CARES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-207-6617"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Branden Lee Quinlan, DO
• R Thomas McHugh, OD
• Amanda Louisa Ramey, D.O.
• Punnaivanam Ravisankar, M.D.
• Ayita Ray
• Denita Joy Ray, CRNA
• Lori Rayburn-Dehart, BCBA
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• Substance Use Disorder Rehabilitation Clinic/Center in Morehead, KY
• Providers in Morehead, KY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.