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MBOKA COMMUNITY SERVICES, LLC
NPI 1104603836
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Louisville, KY

Active since September 14, 2023
3514 RAMONA AVE, LOUISVILLE, KY 40220(502) 671-9908 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mboka Community Services, Llc NPPES

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

MBOKA COMMUNITY SERVICES, LLC (NPI 1104603836) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Louisville, Kentucky and active in the NPI registry since September 2023. The organization lists Elizabeth Bass, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1104603836
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMBOKA COMMUNITY SERVICES, LLC
Location Address3514 RAMONA AVELouisville, KY 40220-2411
Mailing Address3514 Ramona AveLouisville, KY 40220-2411 · (502) 671-9908
Phone(502) 671-9908
Organization SubpartNo
Authorized OfficialElizabeth BassCo-owner · (502) 671-9908
Enumeration DateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1104603836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedRespite CareTaxonomy 385H00000X
3514 RAMONA AVE, Louisville, KY 40220
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Frequently Asked Questions

What is MBOKA COMMUNITY SERVICES, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1104603836, enumerated as an "organization" on September 14, 2023.

Where is the provider located?

The provider is located at 3514 RAMONA AVE LOUISVILLE, KY 40220 and the phone number is (502) 671-9908.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.