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NPI Code Detail

MEDICARE: COMMUNITY ALTERNATIVES KENTUCKY, INC.

MEDICARE: COMMUNITY ALTERNATIVES KENTUCKY, INC.
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
1251B00000XCase Management Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency
3251E00000XHome Health Agency
4251S00000XCommunity/Behavioral Health Agency

Other Identifiers

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

General Provider Information

NPI Number : 1770627424
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY ALTERNATIVES KENTUCKY, INC.
Provider Business Mailing Address
First Line : 9901 LINN STATION RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-3808
Country : US
Telephone Number : 800-866-0860
Fax Number :
Provider Business Practice Location Address
First Line : 175 MARKET PLACE DR
Second Line :
City : LOUISVILLE
State : KY
Zip : 40229-4471
Country : US
Telephone Number : 502-955-6166
Fax Number :
Authorized Official
Title or Position : ASSOC. GEN. COUNSEL/PRIVACY OFFICER
Name : MS. DEENA G. OMBRES
Credential :
Telephone Number : 502-394-2100
Provider Enumeration Date : 02/16/2007
Last Update Date : 02/19/2014

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