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

Q: What is Personal Care Agency's NPI number?

The NPI number for Personal Care Agency is 1104510502. It was assigned to this organization in the NPPES registry on June 7, 2023.

Q: What is Personal Care Agency's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

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: August 16, 2026.

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Personal Care Agency's NPI number?

The NPI number for Personal Care Agency is 1104510502. It was assigned to this organization in the NPPES registry on June 7, 2023.

Where is Personal Care Agency located?

Personal Care Agency is located at 2305 Grand Ave, Louisville, KY 40210. The listed phone number is (502) 777-9201.

What is Personal Care Agency's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Personal Care Agency was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.