Provider Demographics
NPI:1457497000
Name:BOARD OF EDUCATION OF JEFFERSON COUNTY KENTUCKY
Entity Type:Organization
Organization Name:BOARD OF EDUCATION OF JEFFERSON COUNTY KENTUCKY
Other - Org Name:EXCEPTIONAL CHILD EDUCATION
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:DAESCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:502-485-3251
Mailing Address - Street 1:PO BOX 34020
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:60232-4020
Mailing Address - Country:US
Mailing Address - Phone:502-485-8500
Mailing Address - Fax:502-485-3776
Practice Address - Street 1:3332 NEWBURG ROAD
Practice Address - Street 2:VAN HOOSE EDUCATION CENTER 4TH FLOOR
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-2414
Practice Address - Country:US
Practice Address - Phone:502-485-8500
Practice Address - Fax:502-485-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21056015Medicaid
KY21056015Medicaid