Healthcare Provider Details

I. General information

NPI: 1306015524
Provider Name (Legal Business Name): JUST FAMILY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 02/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

249 E MAIN ST SUITE 305C
LEXINGTON KY
40507-1330
US

IV. Provider business mailing address

249 E MAIN ST SUITE 305C
LEXINGTON KY
40507-1330
US

V. Phone/Fax

Practice location:
  • Phone: 859-219-3939
  • Fax: 859-971-0040
Mailing address:
  • Phone: 859-219-3939
  • Fax: 859-971-0040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number750102
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number750099
License Number StateKY
# 6
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number750156
License Number StateKY
# 7
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number750135
License Number StateKY
# 8
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number750126
License Number StateKY
# 9
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number750098
License Number StateKY
# 10
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number750195
License Number StateKY

VIII. Authorized Official

Name: MR. FARIS SARDAR
Title or Position: VICE PRESIDENT OPERATIONS
Credential:
Phone: 859-219-3939