1366449548 NPI number — TRANSCARE OF KENTUCKY, INC.

Table of content: (NPI 1366449548)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366449548 NPI number — TRANSCARE OF KENTUCKY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSCARE OF KENTUCKY, 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:
1366449548
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 631488
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45263-1488
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-824-8123
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2169 CHAMBER CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKESIDE PARK
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41017-1664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-392-2805
Provider Business Practice Location Address Fax Number:
859-392-2807
Provider Enumeration Date:
07/04/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ARNETT
Authorized Official First Name:
JUDY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
859-392-2805

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1487 , 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: 200526560 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2130527 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 56007552 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 55059174 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590011976 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 1186805 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com