Provider Demographics
NPI:1760793764
Name:DIETARY CONSULTANTS, INC.
Entity Type:Organization
Organization Name:DIETARY CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BREEDING
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD
Authorized Official - Phone:859-623-5096
Mailing Address - Street 1:101 SHEFFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-8558
Mailing Address - Country:US
Mailing Address - Phone:859-744-4105
Mailing Address - Fax:
Practice Address - Street 1:229 CHURCHILL DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3209
Practice Address - Country:US
Practice Address - Phone:859-623-5096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2155302F00000X, 310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No302F00000XManaged Care OrganizationsExclusive Provider Organization