BENJAMINE ELIJAH SUPERNOVA
NPI 1770284036
Case Manager/Care Coordinator in Shelbyville, KY

Q: What is Benjamine Supernova's NPI number?

The NPI number for Benjamine Supernova is 1770284036. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Q: What is Benjamine Supernova's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since March 14, 2023

213 MIDLAND BLVD, SHELBYVILLE, KY 40065(502) 647-0154 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Benjamine Elijah Supernova NPPES

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

BENJAMINE ELIJAH SUPERNOVA (NPI 1770284036) is an individual case manager/care coordinator provider in Shelbyville, Kentucky and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1770284036

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameBENJAMINE ELIJAH SUPERNOVA

Location Address213 MIDLAND BLVDShelbyville, KY 40065-7791

Mailing Address213 Midland BlvdShelbyville, KY 40065-7791 · (502) 647-0154

Phone(502) 647-0154

Sole ProprietorNo

Enumeration DateMarch 14, 2023

NPPES CertifiedMarch 14, 2023

✔ NPI 1770284036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

213 MIDLAND BLVD, Shelbyville, KY 40065

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