Healthcare Provider Details

I. General information

NPI: 1821276338
Provider Name (Legal Business Name): BLUE GRASS COMMUNITY ACTION PARTNERSHIP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MERCER COUNTY ADULT DAY CARE 1475 LOUISVILLE ROAD
HARRODSBURG KY
40330
US

IV. Provider business mailing address

BLUE GRASS COMMUNITY ACTION PARTNERSHIP 111 PROFESSIONAL COURT
FRANKFORT KY
40601
US

V. Phone/Fax

Practice location:
  • Phone: 859-734-5187
  • Fax:
Mailing address:
  • Phone: 502-695-4290
  • Fax: 502-848-5618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. TROY ROBERTS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 502-695-4290