Kentucky Custom Care Professionals
Kentucky Custom Care Professionals · Custodial Care Facility

Address: 3200 Patton Rd, Boston, KY 40107-8700
Phone: 5023311085

Kentucky Custom Care Professionals (NPI# 1922643287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1922643287
Entity Type Organization
Organization Name KENTUCKY CUSTOM CARE PROFESSIONALS
Other Organization Name KENTUCKY CUSTOM CARE PROFESSIONALS
Practice Address 3200 Patton Rd
Boston
KY 40107-8700
Practice Telephone 5023311085
Mailing Address 3200 Patton Rd
Boston
KY 40107-8700
Mailing Telephone 5023311085
Authorized Official Name Kimberly Fenwick (OWNER)
Authorized Official Telephone 5023311085
Authorized Official Credential CPA
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-11-11
Last Update Date 2019-11-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 163WH0200X Registered Nurse · Home Health Nursing Service Providers
Yes 311Z00000X Custodial Care Facility Nursing & Custodial Care Facilities
No 372600000X Adult Companion Nursing Service Related Providers

Other Provider/Organization Names

Other Name Type Code
Kentucky Custom Care Professionals Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1639714843 Kentucky Custom Care Professionals Custodial Care Facility 3200 Patton Rd, Boston, KY 40107-4010 2019-11-12

Taxonomy Information

Taxonomy Code 311Z00000X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility

Taxonomy Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023588043 Caregiver Homes of South Dakota Inc Custodial Care Facility 120 Saint James Ave Fl 4, Boston, MA 02116-5001 2018-12-03
1639714843 Kentucky Custom Care Professionals Custodial Care Facility 3200 Patton Rd, Boston, KY 40107-4010 2019-11-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528518214 Kat Care L.l.c. Custodial Care Facility 310 E Main St Unit B, Richmond, KY 40475-1867 2016-10-06
1659673655 Modern Care LLC Custodial Care Facility 104 Nancy Cox Dr, Suite D, Campbellsville, KY 42718-6834 2010-11-23
1386875656 Parkside Manor LLC Custodial Care Facility 317 Oddville Avenue, Suite B, Cynthiana, KY 41031 2009-08-04
1467683730 Shady Lawn LLC Custodial Care Facility 108 South Miller Street, Cynthianan, KY 41031 2009-08-04
1518138502 Pennyrile Homes Custodial Care Facility 502 Noel Ave, Hopkinsville, KY 42240-1361 2008-03-18
1881865863 Gainesville Manor Custodial Care Facility 550 Moores Dr, Hopkinsville, KY 42240 2008-03-18
1750507547 Lewis Memorial, Inc Custodial Care Facility 2905 Bowling Green Rd, Franklin, KY 42134-9607 2007-04-18
1811012289 The Episcopal Church Home, Inc. Custodial Care Facility 7504 Westport Road, Louisville, KY 40222 2007-03-21
1942310982 Covington's Convalescent Center, Inc. Custodial Care Facility 115 Cayce St, Hopkinsville, KY 42240-3019 2006-08-30
1821081555 St Charles Care Center Inc Custodial Care Facility 600 Farrell Dr, Covington, KY 41011-5126 2005-08-29
Find all providers with the same taxonomy

Office Location

Street Address 3200 PATTON RD
City BOSTON
State KY
Zip Code 40107-8700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639714843 Kentucky Custom Care Professionals Custodial Care Facility 3200 Patton Rd, Boston, KY 40107-4010 2019-11-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548712615 Jessie Smith Occupational Therapist 40 N Hurricane Hls, Boston, KY 40107-7500 2016-10-25
1174060453 Superior Solutions, Pllc. Occupational Therapy Assistant 1704 Icetown Rd, Boston, KY 40107-8461 2017-01-25
1396214391 Barbara Jozwiak Physical Therapist 1704 Icetown Rd, Boston, KY 40107-8461 2018-11-19
1538607833 Savana Barnes Occupational Therapy Assistant 1704 Icetown Rd, Boston, KY 40107-8461 2017-02-07
1386120244 Cumberland Family Medical Center, Inc. Clinic/Center 130 Wilson Creek Rd, Boston, KY 40107-8554 2018-07-13
1588792253 Blessed Assurance Community Services, LLC Day Training, Developmentally Disabled Services 10233 Boston Rd, Boston, KY 40107-8607 2007-03-02
1043349293 Blessed Assurance Community Services LLC Day Training, Developmentally Disabled Services 10233 Boston Rd, Boston, KY 40107-8607 2007-03-05

Providers in the same city

NPI Name Taxonomy Address Enumeration
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1184262040 Wv Partners Care Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 24 Province St Ste 207, Boston, MA 02108-5105 2019-12-11
1588201487 Charlene Cynthia Fraser Lactation Consultant, Non-RN 139 River St Apt 1, Boston, MA 02126-3039 2019-12-10
1407493455 Cityblock Medical Practice Ma, PC Internal Medicine 155 Federal St Ste 700, Boston, MA 02110-1727 2019-12-09
1871130831 Sarah Chu Nurse Practitioner 5 Longfellow Pl Ste 209, Boston, MA 02114-2839 2019-12-09
1821635921 Michael David Meyers Counselor 9 Notre Dame St, Boston, MA 02119-1230 2019-12-08
1083251276 Karen Ann Clark Physical Therapist 1300 Soldiers Field Rd, Boston, MA 02135-1032 2019-12-06
1255978573 Caleb Samuel Kiernan Social Worker 333 Longwood Ave Ste 280, Boston, MA 02115-5711 2019-12-05
1780221192 Nicholas Schneid Physical Therapist 15 Channel Ctr St, Boston, MA 02210-3423 2019-12-04
1063059467 Shevonne Renee Linnane Nurse Practitioner 619 Adams St Apt 1, Boston, MA 02122-2569 2019-12-04
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 40107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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