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IRVINE OPERATING COMPANY LLC
NPI 1205302031
Respite Care in Irvine, KY

Active since October 19, 2018CLIA 18D0322402 · Waiver
411 BERTHA WALLACE DR, IRVINE, KY 40336(606) 723-5153(606) 723-7765 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Irvine Operating Company Llc NPPES

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

IRVINE OPERATING COMPANY LLC (NPI 1205302031), doing business as Irvine Adult Day Care, is a healthcare organization registered as a respite care in Irvine, Kentucky and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Moshe Kelman, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1205302031
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameIRVINE OPERATING COMPANY LLC
Location Address411 BERTHA WALLACE DRIrvine, KY 40336-9418
Mailing Address411 Bertha Wallace DrIrvine, KY 40336-9418 · (606) 723-5153 · Fax (606) 723-7765
Phone(606) 723-5153
Fax(606) 723-7765
Organization SubpartNo
Authorized OfficialMoshe KelmanManaging Member · (917) 613-1662
Enumeration DateOctober 19, 2018
✔ NPI 1205302031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
411 BERTHA WALLACE DR, Irvine, KY 40336
Open in Google Maps ↗

Other Names 1

Doing Business AsIrvine Adult Day Care

Other Identifiers 1

Other750149KY · License

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0322402

Irvine Operating Company LLC D/B/A Irvine Nursing And Rehabilitation Center · Irvine, KY
Active · expires Aug 31, 2028
CLIA Number18D0322402
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMr. Mica Collins
Laboratory Phone(606) 723-5153
Laboratory LocationIrvine Operating Company LLC D/B/A Irvine Nursing And Rehabilitation Center411 Bertha Wallace Drive, Irvine, KY 40336
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXTENDICARE HOMES, INC.
Skilled Nursing Facility
411 BERTHA WALLACE DR
IRVINE, KY 40336
Estill County (606) 723-5153
ANDREA BLEDSOE CCC-SLP
Speech-Language Pathologist
411 BERTHA WALLACE DR
IRVINE, KY 40336
Estill County (606) 723-5153
MRS. CATHERINE T COOPER OTRL
Occupational Therapist
411 BERTHA WALLACE DR
IRVINE, KY 40336
Estill County (606) 723-5153
IRVINE HEALTH FACILITIES LP
Skilled Nursing Facility
411 BERTHA WALLACE DR
IRVINE, KY 40336
Estill County (606) 723-5153
BRYAN MILLER MSPT
Physical Therapist
411 BERTHA WALLACE DR
IRVINE, KY 40336
Estill County (606) 723-5153
IRVINE HEALTH FACILITIES LP
Respite Care
411 BERTHA WALLACE DR
IRVINE, KY 40336
Estill County (606) 723-5153
REBECCA MILLER PTA
Physical Therapy Assistant
411 BERTHA WALLACE DR
IRVINE, KY 40336
Estill County (606) 723-5153
IRVINE OPERATING COMPANY LLC
Skilled Nursing Facility
411 BERTHA WALLACE DR
IRVINE, KY 40336
Estill County (606) 723-5153

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 Irvine Operating Company LLC's NPI number?

The NPI number for Irvine Operating Company LLC is 1205302031. It was assigned to this organization in the NPPES registry on October 19, 2018. The provider is doing business as Irvine Adult Day Care.

Where is Irvine Operating Company LLC located?

Irvine Operating Company LLC is located at 411 Bertha Wallace Dr, Irvine, KY 40336. The listed phone number is (606) 723-5153.

What is Irvine Operating Company LLC's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

Does Irvine Operating Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0322402) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Irvine Operating Company LLC was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.