JEFFERSON SALT RIVER TRAIL REGION FOSTER CARE - ELIZABETHTOWN
NPI 1164867586
Foster Care Agency in Elizabethtown, KY
- Organization
- Foster Care Agency
- CLIA Number: 18D2188162
- CLIA Cert. Type: Other - FOSTER CARE PROGRAM
- CLIA Exp. Date: 07-13-2026
About JEFFERSON SALT RIVER TRAIL REGION FOSTER CARE - ELIZABETHTOWN
This page provides the complete NPI Profile along with additional information for Jefferson Salt River Trail Region Foster Care - Elizabethtown, a provider established in Elizabethtown, Kentucky operating as a Foster Care Agency. The healthcare provider is registered in the NPI registry with number 1164867586 assigned on April 2013. The practitioner's primary taxonomy code is 253J00000X with license number 500303 (KY). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Jefferson Salt River Trail Region Foster Care - Elizabethtown. The authorized official of this NPI record is Mrs. Danielle N Mertz (Operations Analyst)
- NPI
- 1164867586 Verify this NPI
- Provider Legal Name
- SUNRISE CHILDREN'S SERVICES
- Other Organization Name
- JEFFERSON SALT RIVER TRAIL REGION FOSTER CARE - ELIZABETHTOWN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 333 W DIXIE AVE ELIZABETHTOWN, KY 42701
- Location Phone
- (270) 769-6841
- Mailing Address
- 300 HOPE ST MT WASHINGTON, KY 40047
- Mailing Phone
- (502) 538-1000
- Mailing Fax
- (502) 538-1100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-30-2013
- Last Update Date
- 08-28-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Foster Care Agency
- Taxonomy Code
- 253J00000X
- Type
- Agencies
- License No.
- 500303
- License State
- KY
- Taxonomy Description
- A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D2188162
- Facility Type
- Other - FOSTER CARE PROGRAM
- Certificate Effective Date
- July 14, 2024
- Certificate Expiration Date
- July 13, 2026
- Laboratory Director
- MS. KATHY CASTLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jefferson Salt River Trail Region Foster Care - Elizabethtown to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ELIZABETHTOWN, KY 42701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164867586, enumerated as an "organization" on April 30, 2013.
The provider is located at 333 W DIXIE AVE ELIZABETHTOWN, KY 42701 and the phone number is (270) 769-6841.
Foster Care Agency with taxonomy code 253J00000X.
