Bluegrass Extended Care Services Llc

LBN: Bluegrass Extended Care Services Llc
Bluegrass Extended Care Services Llc is an health care organization with primary practice located at 989 Governors Ln Ste 240 , Lexington KY 40513-1175. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neurology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Bluegrass Extended Care Services Llc can be contacted via phone (859) 338-3958, or through Richard, John W. via phone (859) 338-3958.

Contact Information

Primary practice address
989 Governors Ln Ste 240 Lexington KY 40513-1175
Phone: (859) 338-3958
Fax: (859) 368-8135
Website:
Map and Directions
Authorized official contact:
Name: Richard, John W.
Phone: (859) 338-3958

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X

Profile Details

NPI number 1912274044
LBN Legal business name Bluegrass Extended Care Services Llc
DBA Doing business as
Authorized official Richard, John W.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2011
Last updated Nov 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912274044 NPPES
Kentucky MEDICAID 7100185160
Kentucky MEDICAID 7100206250
Kentucky MEDICAID 7100192070

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