Provider Demographics
NPI:1508963828
Name:ELDER CARE PLUS INC
Entity Type:Organization
Organization Name:ELDER CARE PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MEURER
Authorized Official - Suffix:
Authorized Official - Credentials:PA C
Authorized Official - Phone:859-797-4770
Mailing Address - Street 1:2256 LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-9999
Mailing Address - Country:US
Mailing Address - Phone:859-797-4770
Mailing Address - Fax:
Practice Address - Street 1:203 BRUCE COURT
Practice Address - Street 2:CHARLESTON HEALTH CARE
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-9999
Practice Address - Country:US
Practice Address - Phone:859-236-9292
Practice Address - Fax:859-236-3713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA505363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYS96495Medicare UPIN
KY9943Medicare PIN