Provider Demographics
NPI:1770356719
Name:CAPERNAUM CARE, INC.
Entity type:Organization
Organization Name:CAPERNAUM CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYPOOL
Authorized Official - Suffix:
Authorized Official - Credentials:KLPC; LPCA
Authorized Official - Phone:502-321-9587
Mailing Address - Street 1:800 MAIN ST STE 17
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-1224
Mailing Address - Country:US
Mailing Address - Phone:502-321-9587
Mailing Address - Fax:
Practice Address - Street 1:800 MAIN ST STE 17
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-1224
Practice Address - Country:US
Practice Address - Phone:502-321-9587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty