1306015524 NPI number — JUST FAMILY, INC

Table of content: (NPI 1306015524)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306015524 NPI number — JUST FAMILY, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JUST FAMILY, INC
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:
1306015524
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
249 E MAIN ST
Provider Second Line Business Mailing Address:
SUITE 305C
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40507-1330
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-219-3939
Provider Business Mailing Address Fax Number:
859-971-0040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
249 E MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 305C
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40507-1330
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-219-3939
Provider Business Practice Location Address Fax Number:
859-971-0040
Provider Enumeration Date:
02/21/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SARDAR
Authorized Official First Name:
FARIS
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT OPERATIONS
Authorized Official Telephone Number:
859-219-3939

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251J00000X , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QA0600X , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QC1500X , with the licence number: 750102 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QH0100X , with the licence number: 750099 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0850X , with the licence number: 750156 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP0905X , with the licence number: 750135 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2300X , with the licence number: 750126 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR1300X , with the licence number: 750098 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QS1000X , with the licence number: 750195 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 7100026220 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100026180 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100026160 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100026190 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100026200 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100026210 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100449520 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100452110 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100026170 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100447390 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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