Intrepid Of Southern Kentucky, Inc., NPI 1467434043
Home Health Agency in Somerset, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1467434043 |
| NPI Entity Type | Organization |
| Provider Name |
Intrepid Of Southern Kentucky, Inc.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 230 Tower Cir, Somerset, KY, US |
| Provider Mailing Address | 3220 Keller Springs Rd Ste 108, Carrollton, TX, US, 750065911 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Paul M Mcmullen |
| Official Position | COO |
| Phone | 214-445-3750 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Home Health Agency |
| Classification | |
| Group | |
| License No. | 150031 |
| License State | KY |
| Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
150031 | KY | No | ||
| 150031 | KY | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 34000182 | KY | MEDICAID | 05 |
| 45002367 | KY | MEDICAID | 05 |
| 42000117 | KY | MEDICAID | 05 |
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