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General NPI Number Information
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NPI Number | 1427204155
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Entity Type | Organization
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Legal Business Name | MANAGEMENT REGISTRY INC.
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 1866 CAMPUS PLACE
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City | LOUISVILLE
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State | KY
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Zip | 40219-1922
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Country | US
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Telephone | 502-637-5474
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Fax | 502-634-0919
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Provider Business Mailing Address
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Address Line | 1866 CAMPUS PLACE
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City | LOUISVILLE
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State | KY
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Zip | 40219-1922
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Country | US
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Telephone | 502-637-5474
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Fax | 502-634-0919
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CHERYL ANN RICH
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Credential | RN
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Telephone | 502-637-5474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 090120261
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 720095
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 1427204155
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License Number State | KY
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