MEDICARE: BLUEGRASS CARE MANAGEMENT SERVICES

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1992630362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUEGRASS CARE MANAGEMENT SERVICES

Provider Business Mailing Address
First Line	:	5509 IDLEWOOD LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-1323
Country	:	US
Telephone Number	:	502-553-2365
Fax Number	:

Provider Business Practice Location Address
First Line	:	5509 IDLEWOOD LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-1323
Country	:	US
Telephone Number	:	502-553-2365
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ESSIE A TAYLOR
Credential	:
Telephone Number	:	502-553-2365

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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