MEDICARE: VICARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	261QD1600X	Developmental Disabilities Clinic/Center
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	320600000X	Intellectual and/or Developmental Disabilities 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	:	1326111493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICARE

Provider Business Mailing Address
First Line	:	4119 BROWNS LN
Second Line	:	BUILDING 3
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1500
Country	:	US
Telephone Number	:	502-384-1840
Fax Number	:	502-384-1840

Provider Business Practice Location Address
First Line	:	4119 BROWNS LN
Second Line	:	BUILDING 3
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1500
Country	:	US
Telephone Number	:	502-384-1840
Fax Number	:	502-384-1840

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. VICTOR JOSEPH DIORIO III
Credential	:
Telephone Number	:	502-384-1840

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	04/29/2008

Similar Medicare Providers

1851440267 — DR. DENISE L EPPERSON MD
Practice Location Address:

4119 BROWNS LN STE 1
LOUISVILLE, KY
40220-1500

Practice Phone: 502-451-9296
Practice Fax: 502-451-9291

1689513095 — DR. MASON DAVID REGAN DPM
Practice Location Address:

4119 BROWNS LN STE 2
LOUISVILLE, KY
40220-1500

Practice Phone: 502-897-1616
Practice Fax:

1871597781 — MR. ROBERT BOND NOLAN JR. MD
Practice Location Address:

4119 BROWNS LN , STE 1
LOUISVILLE, KY
40220-1500

Practice Phone: 502-451-9296
Practice Fax: 502-451-9291

1508860925 — DR. SARAH E LAINHART MD
Practice Location Address:

4119 BROWNS LN , STE 1
LOUISVILLE, KY
40220-1500

Practice Phone: 502-451-9296
Practice Fax: 502-451-9291

1982689949 — DR. BRIAN PRZYSTAWSKI DPM, PSC
Practice Location Address:

4119 BROWNS LN , BLDG 2
LOUISVILLE, KY
40220-1500

Practice Phone: 502-454-4187
Practice Fax: 502-454-4235

1023153350 — ROBERT B. NOLAN, JR., MD, PLLC
Practice Location Address:

4119 BROWNS LN , STE. 1
LOUISVILLE, KY
40220-1500

Practice Phone: 502-451-9296
Practice Fax: 502-451-9291

Directions to “VICARE ” Practice Location

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