Vintage Care Inc.

LBN: Vintage Care Inc.
Vintage Care Inc. is an health care organization with primary practice located at 2000 Newburg Rd , Louisville KY 40205-1803. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Vintage Care Inc. can be contacted via phone (502) 883-6744, or through Lazor, Bonnie A via phone (502) 883-6744.

Contact Information

Primary practice address
2000 Newburg Rd Louisville KY 40205-1803
Phone: (502) 883-6744
Fax: (502) 883-6743
Website:
Map and Directions
Authorized official contact:
Name: Lazor, Bonnie A Doctor of Medicine (MD)
Phone: (502) 883-6744

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1376598763
LBN Legal business name Vintage Care Inc.
DBA Doing business as
Authorized official Lazor, Bonnie A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Oct 19th, 2016 - about 10 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 1376598763 NPPES
Other 50011327 PASSPORT
Other DF1586 PASSPORT
Other 2742752000 PASSPORT
MEDICAID 65945339 PASSPORT

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