Provider Demographics
NPI:1336718071
Name:ACCESS ADULT HEALTH DAY CARE CENTER LLC
Entity Type:Organization
Organization Name:ACCESS ADULT HEALTH DAY CARE CENTER LLC
Other - Org Name:ACCESS CARE PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-883-3147
Mailing Address - Street 1:908 DUPONT RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4602
Mailing Address - Country:US
Mailing Address - Phone:502-883-3150
Mailing Address - Fax:502-891-0028
Practice Address - Street 1:908 DUPONT RD STE 100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4602
Practice Address - Country:US
Practice Address - Phone:502-883-3150
Practice Address - Fax:502-891-0028
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCESS ADULT HEALTH DAY CARE CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-17
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty