Active NPI
Provide Services
- Developmentally Disabled Services Day Training Agency
- Bronston, KY
National Provider Identifier
1982494910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Paula Jane Gibson, OTR/L
- Jason Hamlin, LPN
- Scott Christian Hughes
- David G Jamison, BOWEL AND BLADDER
- Ashley Morrow
- Margie Mae Reynolds, LPCC
- Carrie Schultz
- Sunrise Children's Services, Inc. (Bronston Center)
- Sunrise Children's Services, Inc. (New Start Adolescent Addiction Treatment Center)
- Sunrise Children's Services, Inc. (Cumberland Adventure Program)
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.