The Home Of The Innocents | |
1100 E Market St Louisville KY 40206-1838 | |
(502) 596-1088 | |
(502) 596-1449 |
Full Name | The Home Of The Innocents |
---|---|
Speciality | Community/behavioral Health |
Location | 1100 E Market St, Louisville, Kentucky |
Authorized Official Name and Position | David Mcdonald (CFO) |
Authorized Official Contact | 5025961039 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Home Of The Innocents 1100 E Market St Louisville KY 40206-1838 Ph: (502) 596-1000 | The Home Of The Innocents 1100 E Market St Louisville KY 40206-1838 Ph: (502) 596-1088 |
NPI Number | 1003115940 |
---|---|
Provider Enumeration Date | 03/17/2011 |
Last Update Date | 08/03/2023 |
Certification Date | 08/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003115940 | NPI | - | NPPES |
29201183 | Medicaid | KY | |
12500989 | Medicaid | KY | |
7100126000 | Medicaid | KY | |
29101185 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | 740143 (Kentucky) | Secondary |
News Archive
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