Provider Demographics
NPI:1467595702
Name:BLUE GRASS COMMUNITY ACTION PARTNERSHIP, INC.
Entity Type:Organization
Organization Name:BLUE GRASS COMMUNITY ACTION PARTNERSHIP, INC.
Other - Org Name:ANDERSON COUNTY ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:STIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-695-4290
Mailing Address - Street 1:PO BOX 738
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40602-0738
Mailing Address - Country:US
Mailing Address - Phone:502-695-4290
Mailing Address - Fax:502-848-8808
Practice Address - Street 1:111 PROFESSIONAL CT
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-8189
Practice Address - Country:US
Practice Address - Phone:502-695-4290
Practice Address - Fax:502-848-8808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY43010032Medicaid