MEDICARE: MEETING CHALLENGES LLC

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255397212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEETING CHALLENGES LLC

Provider Business Mailing Address
First Line	:	2210 GOLDSMITH LN STE 122
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1038
Country	:	US
Telephone Number	:	502-387-9909
Fax Number	:	502-968-0330

Provider Business Practice Location Address
First Line	:	2210 GOLDSMITH LN STE 122
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-1038
Country	:	US
Telephone Number	:	502-387-9909
Fax Number	:	502-968-0330

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MR. JAMES A GRANT
Credential	:
Telephone Number	:	502-387-9909

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	08/22/2020

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Directions to “MEETING CHALLENGES LLC ” Practice Location

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