MEDICARE: CHRANSYE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
3	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	KY

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	:	1548307390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRANSYE

Provider Business Mailing Address
First Line	:	1043 CENTER DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3838
Country	:	US
Telephone Number	:	859-626-1042
Fax Number	:	859-626-1146

Provider Business Practice Location Address
First Line	:	1043 CENTER DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3838
Country	:	US
Telephone Number	:	859-626-1042
Fax Number	:	859-626-1146

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. DINA MULLINS
Credential	:
Telephone Number	:	859-626-1042

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	04/09/2013

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Directions to “CHRANSYE ” Practice Location

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