Elderclub Adc

LBN: Elderclub Adc Elderserve Inc.
Elderclub Adc is an health care organization with primary practice located at 631 S 28Th St , Louisville KY 40211-1369. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Elderclub Adc Elderserve Inc. can be contacted via phone (502) 776-3066, or through Jones, Harold D via phone (502) 776-3066.

Contact Information

Primary practice address
631 S 28Th St Louisville KY 40211-1369
Phone: (502) 776-3066
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Harold D
Phone: (502) 776-3066

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 750118 Kentucky

Profile Details

NPI number 1720133200
LBN Legal business name Elderclub Adc Elderserve Inc.
DBA Doing business as Elderclub Adc
Authorized official Jones, Harold D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720133200 NPPES
Kentucky MEDICAID 43000215

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