MATTINGLY CENTER, INC – NPI #1720199268
Clinic/Center

MATTINGLY CENTER, INC is an AHC clinic located in LOUISVILLE, KY. NPPES has assigned the NPI number 1720199268 to MATTINGLY CENTER, INC on August 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is CEREBRAL PALSY SCHOOL OF LOUISVILLE, INC. 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 17 years ago on Feb 23, 2009. 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 MATTINGLY CENTER, INC below.

NPI Profile for
MATTINGLY CENTER, INC

NPI Number
1720199268
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MATTINGLY CENTER, INC
Former Legal Business Name: CEREBRAL PALSY SCHOOL OF LOUISVILLE, INC
Primary location
1520 BAXTER AVE
LOUISVILLE, KY 40205-1009
Phone: (502) 451-6200 Fax: (502) 451-6861
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BARBARA HENCHEY
EXECUTIVE DIRECTOR
Phone: (502) 451-6200
Updated
Identifiers

Identifiers for MATTINGLY CENTER, INC

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.

DescriptionIssuerStateIdentifier
MEDICAIDKY33300260
MEDICAIDKY43003565
MEDICAIDKY7100060340
Taxonomy Code(s)

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)		 KY 750034
261QH0100X
- Clinic/Center / Health Service		 KY 750034
251C00000X
- Day Training, Developmentally Disabled Services		 KY 750034

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.