1528518214 NPI number — KAT CARE L.L.C.

Table of content: (NPI 1528518214)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528518214 NPI number — KAT CARE L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KAT CARE L.L.C.
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:
6
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:
1528518214
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1057
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40476-1057
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-353-8965
Provider Business Mailing Address Fax Number:
859-575-4205

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 E MAIN ST UNIT B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40475-1867
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-353-8965
Provider Business Practice Location Address Fax Number:
859-575-4205
Provider Enumeration Date:
10/06/2016

Additional Information

Authorized Official

Authorized Official Last Name:
TERRY
Authorized Official First Name:
ANGELA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
859-486-9880

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 311Z00000X , with the licence number: 500247 , 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: 1528518214 . This is a "PERSONAL CARE AGENCY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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