1487863098 NPI number — SPECTRUM CARE ACADEMY GLASGOW I

Table of content: APRIL DAWN FLOWERS RN (NPI 1659838084)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487863098 NPI number — SPECTRUM CARE ACADEMY GLASGOW I

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPECTRUM CARE ACADEMY GLASGOW I
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487863098
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
309 EVERGREEN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-673-5035
Provider Business Mailing Address Fax Number:
270-384-9126

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6100 N. JACKSON HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLASGOW
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-673-5035
Provider Business Practice Location Address Fax Number:
270-678-6508
Provider Enumeration Date:
05/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PERALTA
Authorized Official First Name:
REBECCA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
714-673-5035

Provider Taxonomy Codes

  • Taxonomy code: 323P00000X , with the licence number:  950008 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7101079830 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 04005013 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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