NPI Code Detail JSON Logo

1114816394 NPI number — TRI-COUNTY COMMUNITY ACTION AGENCY

NPI Number: 1114816394
Health Care Provider/Practitioner: TRI-COUNTY COMMUNITY ACTION AGENCY

Information about “1114816394” NPI (TRI-COUNTY COMMUNITY ACTION AGENCY) exists in 1114816394 in HTML format HTML  |  1114816394 in plain Text format TXT  |  1114816394 in PDF (Portable Document Format) PDF  |  1114816394 in an XML format XML  formats.

NPI Number : 1114816394 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114816394",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRI-COUNTY COMMUNITY ACTION AGENCY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1015 DISPATCHERS WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA GRANGE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40031-8733",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-222-1349",
    "MailingAddressFaxNumber": "502-222-1349",
    "FirstLinePracticeLocationAddress": "1015 DISPATCHERS WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA GRANGE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40031-8733",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-222-1349",
    "PracticeLocationAddressFaxNumber": "502-222-1349",
    "EnumerationDate": "07/01/2025",
    "LastUpdateDate": "07/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ANDERSON",
    "AuthorizedOfficialFirstName": "ANGELA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "502-222-1349",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "343900000X",
          "TaxonomyName": "Non-emergency Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA0600X",
          "TaxonomyName": "Adult Day Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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