NPIMap

Organization Active NPI

Elderserve, Inc.

  • Home Health Agency
  • Louisville, KY
National Provider Identifier
1982886784
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELDERSERVE, INC.
Practice address
411 E Muhammad Ali Blvd
Louisville, KY 40202-1501
Phone
(502) 587-8673
Fax
(502) 583-8057
NPI assigned
Dec 4, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Ms. Joanne Lanier Whitlock, MSSW
Title
Director of in-Home Services
Phone
(502) 583-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0 KY Primary

Addresses

Primary practice location

411 E Muhammad Ali Blvd
Louisville, KY 40202-1501

Mailing address

411 E Muhammad Ali Blvd
Louisville, KY 40202-1501
Phone (502) 587-8673

National Provider Directory

National Provider Directory
Tax ID family
Elderclub Adc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

411 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 583-8012

Practitioners & affiliated clinicians

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1982886784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E MUHAMMAD ALI BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021501",
            "telephone_number": "502-587-8673",
            "fax_number": "502-583-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E MUHAMMAD ALI BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021501",
            "telephone_number": "502-587-8673",
            "fax_number": "502-583-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERSERVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "LANIER",
        "authorized_official_title_or_position": "DIRECTOR OF IN-HOME SERVICES",
        "authorized_official_telephone_number": "502-583-8012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 4, 2007; 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.