COMMONWEALTH CORRECTIONAL CARE
NPI 1649060997
Family Medicine in Louisville, KY

Active since May 09, 2025
15402 CHAMPION LAKES PL, LOUISVILLE, KY 40245(502) 552-3879 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Commonwealth Correctional Care NPPES

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

COMMONWEALTH CORRECTIONAL CARE (NPI 1649060997) is a healthcare organization registered as a family medicine in Louisville, Kentucky and active in the NPI registry since May 2025. The organization lists Benjamin Hale, President, as its authorized official.

NPPES Registry Identity

NPI1649060997
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOMMONWEALTH CORRECTIONAL CARE
Location Address15402 CHAMPION LAKES PLLouisville, KY 40245-5601
Mailing Address15402 Champion Lakes PlLouisville, KY 40245-5601 · (502) 552-3879
Organization SubpartNo
Authorized OfficialBenjamin HalePresident · (606) 524-2880
Enumeration DateMay 9, 2025
NPPES CertifiedMay 9, 2025
NPI 1649060997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15402 CHAMPION LAKES PL, Louisville, KY 40245

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Commonwealth Correctional Care's NPI number?

The NPI number for Commonwealth Correctional Care is 1649060997. It was assigned to this organization in the NPPES registry on May 9, 2025.

Where is Commonwealth Correctional Care located?

Commonwealth Correctional Care is located at 15402 Champion Lakes Pl, Louisville, KY 40245. The listed phone number is (502) 552-3879.

What is Commonwealth Correctional Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Commonwealth Correctional Care was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.