Organization Active NPI

Provide Services

  • Developmentally Disabled Services Day Training Agency
  • Bronston, KY
National Provider Identifier
1982494910
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PROVIDE SERVICES
Practice address
3340 Highway 790
Bronston, KY 42518-9464
Phone
(606) 396-1702
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Lila Coffman
Title
Owner
Phone
(606) 396-1702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3340 Highway 790
Bronston, KY 42518-9464

Mailing address

3340 Highway 790
Bronston, KY 42518-9464
Phone (606) 396-1702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1982494910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 HIGHWAY 790",
            "city": "BRONSTON",
            "state": "KY",
            "postal_code": "425189464",
            "telephone_number": "606-396-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 HIGHWAY 790",
            "city": "BRONSTON",
            "state": "KY",
            "postal_code": "425189464",
            "telephone_number": "606-396-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "LILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-396-1702"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronston, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.