Provider Demographics
NPI:1427204155
Name:MANAGEMENT REGISTRY INC.
Entity Type:Organization
Organization Name:MANAGEMENT REGISTRY INC.
Other - Org Name:MALONE HEALTHCARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:502-637-5474
Mailing Address - Street 1:1866 CAMPUS PLACE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219-1922
Mailing Address - Country:US
Mailing Address - Phone:502-637-5474
Mailing Address - Fax:502-634-0919
Practice Address - Street 1:1866 CAMPUS PLACE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219-1922
Practice Address - Country:US
Practice Address - Phone:502-637-5474
Practice Address - Fax:502-634-0919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN090120261251E00000X
KY1427204155251J00000X
KY720095332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY=========Medicaid