Pennyrile Area Development District in Hopkinsville - Supports Brokerage

Pennyrile Area Development District - NPI 1437296167

Pennyrile Area Development District is a Supports Brokerage in Hopkinsville, Kentucky. Pennyrile Area Development District practices all healthcare services and medical treatments related to Supports Brokerage. The NPI Number for Pennyrile Area Development District is 1437296167. The last update date is 2020-08-22.

Pennyrile Area Development District's current location address is 300 Hammond Dr, Hopkinsville, Kentucky. You can contact this provider via phone number 2708869484. The mailing address for Pennyrile Area Development District is 300 Hammond Dr, Hopkinsville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pennyrile Area Development District
Address 300 Hammond Dr, Hopkinsville, Kentucky
Phone Number 2708869484
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Bozarth Dan
Telephone Number 2708869484

NPI Number Detail

NPI Number 1437296167
Provider Enumeration Date 2007-01-31
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 300 Hammond Dr
City Hopkinsville
State Kentucky (KY)
Post Code 422407952
Phone Number 2708869484
Fax Number

Provider's Primary Taxonomy Detail

Speciality Supports Brokerage
Taxonomy 251X00000X
Definition:
A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3300136300 KY SCL WAIVER

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FAQs about Pennyrile Area Development District

What is the unique provider identifier assigned to Pennyrile Area Development District?

The Pennyrile Area Development District has been issued the NPI (National Provider Identifier) 1437296167 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Pennyrile Area Development District's facilities are situated?

The facilities of Pennyrile Area Development District are physically located at the following address: 300 Hammond Dr, Hopkinsville, KY, 422407952.

What is Pennyrile Area Development District's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Pennyrile Area Development District is Supports Brokerage, and the taxonomy classification code that categorizes this area of expertise is 251X00000X.

On what date did Pennyrile Area Development District receive its 1437296167 assignment from the Centers for Medicare & Medicaid Services?

The Pennyrile Area Development District was assigned its 1437296167 on 2007-01-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Pennyrile Area Development District's information last updated?

The Pennyrile Area Development District's information was last updated on 2020-08-22.

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