BLUEGRASS COMMUNITY LIVING, INC. – NPI #1184836272
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

BLUEGRASS COMMUNITY LIVING, INC. is a community based residential treatment facility located in GEORGETOWN, KY. NPPES has assigned the NPI number 1184836272 to BLUEGRASS COMMUNITY LIVING, INC. on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 18 years ago on May 01, 2008. 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 BLUEGRASS COMMUNITY LIVING, INC. below.

NPI Profile for
BLUEGRASS COMMUNITY LIVING, INC.

NPI Number
1184836272
Enumeration Date

(more than 19 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
BLUEGRASS COMMUNITY LIVING, INC.
Primary location
107 BROADBILL COURT
GEORGETOWN, KY 40324-9294
Phone: (502) 570-9269 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DERRAN BROYLES
CHIEF OF FINANCIAL AFFAIRS
Phone: (502) 570-9269
Updated
Identifiers

Identifiers for BLUEGRASS COMMUNITY LIVING, 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
MEDICAIDKY3300130600
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

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.