ANNVILLE ADULT DAY HEALTHCARE CENTER – NPI #1407845639
Clinic/Center
ANNVILLE ADULT DAY HEALTHCARE CENTER is an AHC clinic located in ANNVILLE, KY. NPPES has assigned the NPI number 1407845639 to ANNVILLE ADULT DAY HEALTHCARE CENTER on October 20, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ANNVILLE ADULT DAY HEALTHCARE CENTER” is a dba name, the actual legal business name for this organization is NEW JACKSON MANOR, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care
The NPI profile was previously updated about 14 years ago on Oct 23, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANNVILLE ADULT DAY HEALTHCARE CENTER below.
NPI Profile for
NEW JACKSON MANOR, LLC
(more than 20 years ago)
ANNVILLE, KY 40402 Phone: (606) 364-5197 Fax: (606) 364-2293
SUITE 101
LOUISVILLE, KY 40223 Phone: (502) 753-6004 Fax: (502) 753-6104
VICE PRESIDENT
Phone: (502) 753-6004
Identifiers for ANNVILLE ADULT DAY HEALTHCARE CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | KY | 7100174140 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QA0600X - Clinic/Center / Adult Day Care (Primary) |
||
| 314000000X - Skilled Nursing Facility |
KY | 100602 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.