Provider Demographics
NPI:1003008541
Name:C'S NEW BEGINNINGS
Entity Type:Organization
Organization Name:C'S NEW BEGINNINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VINNIE
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-264-0646
Mailing Address - Street 1:1240 TELLURIDE CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2394
Mailing Address - Country:US
Mailing Address - Phone:859-264-0646
Mailing Address - Fax:859-264-7160
Practice Address - Street 1:1240 TELLURIDE CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2394
Practice Address - Country:US
Practice Address - Phone:859-264-0646
Practice Address - Fax:859-264-7160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY320600000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities