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PERSONAL CARE AGENCY
NPI 1104510502
Assisted Living Facility - Assisted Living, Mental Illness in Louisville, KY

Active since June 07, 2023
2305 GRAND AVE, LOUISVILLE, KY 40210(502) 777-9201 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Personal Care Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERSONAL CARE AGENCY (NPI 1104510502) is a healthcare organization registered as an assisted living, mental illness in Louisville, Kentucky and active in the NPI registry since June 2023. The organization lists Shavonda Hill, Owner, as its authorized official.

NPPES Registry Identity

NPI1104510502
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NamePERSONAL CARE AGENCY
Location Address2305 GRAND AVELouisville, KY 40210-1145
Mailing Address2305 Grand AveLouisville, KY 40210-1145 · (502) 416-2988
Phone(502) 777-9201
Organization SubpartNo
Authorized OfficialShavonda HillOwner · (502) 416-2988
Enumeration DateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1104510502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
2305 GRAND AVE, Louisville, KY 40210
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Frequently Asked Questions

What is PERSONAL CARE AGENCY's NPI number?

The NPI number assigned to this healthcare provider is 1104510502, enumerated as an "organization" on June 07, 2023.

Where is the provider located?

The provider is located at 2305 GRAND AVE LOUISVILLE, KY 40210 and the phone number is (502) 777-9201.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.