JUST FAMILY, INC

Provider Demographics

• NPI: 1306015524
• Name: JUST FAMILY, INC
• Entity Type: Organization
• Organization Name: JUST FAMILY, INC
• Authorized Official - Title/Position: VICE PRESIDENT OPERATIONS
• Authorized Official - Prefix: MR
• Authorized Official - First Name: FARIS
• Authorized Official - Last Name: SARDAR
• Authorized Official - Phone: 859-219-3939
• Mailing Address - Street 1: 249 E MAIN ST
• Mailing Address - Street 2: SUITE 305C
• Mailing Address - City: LEXINGTON
• Mailing Address - State: KY
• Mailing Address - Zip Code: 40507-1330
• Mailing Address - Country: US
• Mailing Address - Phone: 859-219-3939
• Mailing Address - Fax: 859-971-0040
• Practice Address - Street 1: 249 E MAIN ST
• Practice Address - Street 2: SUITE 305C
• Practice Address - City: LEXINGTON
• Practice Address - State: KY
• Practice Address - Zip Code: 40507-1330
• Practice Address - Country: US
• Practice Address - Phone: 859-219-3939
• Practice Address - Fax: 859-971-0040
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2008-02-21
• Last Update Date: 2018-02-08

Provider Licenses

State	License ID	Taxonomies
KY		251B00000X, 251J00000X, 261QA0600X
KY	750102	261QC1500X
KY	750099	261QH0100X
KY	750156	261QM0850X
KY	750135	261QP0905X
KY	750126	261QP2300X
KY	750098	261QR1300X
KY	750195	261QS1000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	261QA0600X	Ambulatory Health Care Facilities	Clinic/Center	Adult Day Care
No	251B00000X	Agencies	Case Management
No	251J00000X	Agencies	Nursing Care
No	261QC1500X	Ambulatory Health Care Facilities	Clinic/Center	Community Health
No	261QH0100X	Ambulatory Health Care Facilities	Clinic/Center	Health Service
No	261QM0850X	Ambulatory Health Care Facilities	Clinic/Center	Adult Mental Health
No	261QP0905X	Ambulatory Health Care Facilities	Clinic/Center	Public Health, State or Local
No	261QP2300X	Ambulatory Health Care Facilities	Clinic/Center	Primary Care
No	261QR1300X	Ambulatory Health Care Facilities	Clinic/Center	Rural Health
No	261QS1000X	Ambulatory Health Care Facilities	Clinic/Center	Student Health

Provider Identifiers

State	Identifier ID	ID Type	Issuer
KY	7100026220	Medicaid
KY	7100026180	Medicaid
KY	7100026160	Medicaid
KY	7100026190	Medicaid
KY	7100026200	Medicaid
KY	7100026210	Medicaid
KY	7100449520	Medicaid
KY	7100452110	Medicaid
KY	7100026170	Medicaid
KY	7100447390	Medicaid