Modern Care Llc

LBN: Modern Care Llc
Modern Care Llc is an health care organization with primary practice located at 104 Nancy Cox Dr Ste D , Campbellsville KY 42718-6835. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Modern Care Llc can be contacted via phone (270) 465-8508, or through Jewell, Stacey via phone (270) 465-8508.

Contact Information

Primary practice address
104 Nancy Cox Dr Ste D Campbellsville KY 42718-6835
Phone: (270) 465-8508
Fax: (270) 465-8504
Website:
Map and Directions
Authorized official contact:
Name: Jewell, Stacey
Phone: (270) 465-8508

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1922527522
LBN Legal business name Modern Care Llc
DBA Doing business as
Authorized official Jewell, Stacey
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922527522 NPPES
Kentucky MEDICAID 7100144580

Popular Providers