Provider Demographics
NPI:1821276338
Name:BLUE GRASS COMMUNITY ACTION PARTNERSHIP, INC
Entity Type:Organization
Organization Name:BLUE GRASS COMMUNITY ACTION PARTNERSHIP, INC
Other - Org Name:MERCER COUNTY ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-695-4290
Mailing Address - Street 1:BLUE GRASS COMMUNITY ACTION PARTNERSHIP
Mailing Address - Street 2:111 PROFESSIONAL COURT
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601
Mailing Address - Country:US
Mailing Address - Phone:502-695-4290
Mailing Address - Fax:502-848-5618
Practice Address - Street 1:MERCER COUNTY ADULT DAY CARE
Practice Address - Street 2:1475 LOUISVILLE ROAD
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330
Practice Address - Country:US
Practice Address - Phone:859-734-5187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100003370Medicaid