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1407879349

NPI Code Detail

MEDICARE: WENDELL FOSTER'S CAMPUS FOR DEVELOPMENTAL DISABILITIES

MEDICARE: WENDELL FOSTER'S CAMPUS FOR DEVELOPMENTAL DISABILITIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		KY
2	315P00000X	Intellectual Disabilities Intermediate Care Facility
3	225X00000X	Occupational Therapist		KY
4	261QM0850X	Adult Mental Health Clinic/Center		KY
5	235Z00000X	Speech-Language Pathologist		KY
6	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)		KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407879349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WENDELL FOSTER'S CAMPUS FOR DEVELOPMENTAL DISABILITIES

Provider Business Mailing Address
First Line	:	815 TRIPLETT ST
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-3564
Country	:	US
Telephone Number	:	270-683-4517
Fax Number	:	270-852-1490

Provider Business Practice Location Address
First Line	:	815 TRIPLETT ST
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-3564
Country	:	US
Telephone Number	:	270-683-4517
Fax Number	:	270-683-0079

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	SANDY HAYDEN
Credential	:
Telephone Number	:	270-852-1439

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	04/10/2026

Similar Medicare Providers

1235294240 — MRS. JULIE MORGAN OCCUPATIONAL THERAPI
Practice Location Address:

815 TRIPLETT ST
OWENSBORO, KY
42303-3564

Practice Phone: 270-683-4517
Practice Fax: 270-852-1490

1467518936 — MRS. KARISSA RITER SPEECH THERAPIST
Practice Location Address:

815 TRIPLETT ST
OWENSBORO, KY
42303-3564

Practice Phone: 270-683-4517
Practice Fax: 270-852-1490

1922164490 — MRS. CASEY RAY SPEECH THERAPIST
Practice Location Address:

815 TRIPLETT ST
OWENSBORO, KY
42303-3564

Practice Phone: 270-683-4517
Practice Fax: 270-852-1490

1093836595 — MRS. GRETA P. ROOF PT
Practice Location Address:

815 TRIPLETT ST
OWENSBORO, KY
42303-3564

Practice Phone: 270-683-4517
Practice Fax: 270-852-1491

1124286232 — MS. VIRGINIA GAIL MEADOWS MS, CCC/SLP
Practice Location Address:

815 TRIPLETT ST
OWENSBORO, KY
42303-3564

Practice Phone: 270-683-4517
Practice Fax:

1932432085 — RACHEL BUTLER SLP
Practice Location Address:

815 TRIPLETT ST
OWENSBORO, KY
42303-3564

Practice Phone: 270-683-4517
Practice Fax: 270-852-1491

Directions to “WENDELL FOSTER'S CAMPUS FOR DEVELOPMENTAL DISABILITIES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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