SENIOR COMMUNITY CARE OF KENTUCKY
NPI 1871209791
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Louisville, KY

Q: What is Senior Community Care Of Kentucky's NPI number?

The NPI number for Senior Community Care Of Kentucky is 1871209791. It was assigned to this organization in the NPPES registry on January 24, 2023.

Q: What is Senior Community Care Of Kentucky's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Active since January 24, 2023CLIA 18D2269355 · Waiver

960 S 4TH ST, LOUISVILLE, KY 40203(502) 676-7550(502) 676-7516 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Senior Community Care Of Kentucky NPPES

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

SENIOR COMMUNITY CARE OF KENTUCKY (NPI 1871209791) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Louisville, Kentucky and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Nancy Gavin, Assistant Secretary/assistant Treas, as its authorized official.

NPPES Registry Identity

NPI1871209791

Entity TypeOrganization

Primary Taxonomy251T00000X

Legal Business NameSENIOR COMMUNITY CARE OF KENTUCKY

Location Address960 S 4TH STLouisville, KY 40203-3252

Mailing Address7530 Market Place DrEden Prairie, MN 55344-3636 · (952) 941-0300 · Fax (952) 941-0428

Phone(502) 676-7550

Fax(502) 676-7516

Organization SubpartNo

Authorized OfficialNancy GavinAssistant Secretary/assistant Treas · (952) 983-3429

Enumeration DateJanuary 24, 2023

NPPES CertifiedJanuary 24, 2023

✔ NPI 1871209791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies

Taxonomy Code251T00000X

Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

960 S 4TH ST, Louisville, KY 40203

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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 18D2269355

Senior Community Care Of Kentucky · Louisville, KY

Active · expires Sep 25, 2026

CLIA Number18D2269355

Laboratory TypePace

Certificate Effective DateSeptember 26, 2024

Certificate Expiration DateSeptember 25, 2026

Laboratory DirectorDr. Laura Morton

Laboratory Phone(502) 314-2059

Laboratory LocationSenior Community Care Of Kentucky960 South 4th Street, Louisville, KY 40203

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MISS CAITLIN MARIE MAHON APRN, FNP-C, RD, LD

Dietitian, Registered

960 S 4TH ST
LOUISVILLE, KY 40203

Jefferson County (502) 676-7550

AMERICAN HEALTH MANAGEMENT, INC.

Clinic/Center (Adult Day Care)

960 S 4TH ST
LOUISVILLE, KY 40203

Jefferson County (859) 623-4080

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 Senior Community Care Of Kentucky's NPI number?

The NPI number for Senior Community Care Of Kentucky is 1871209791. It was assigned to this organization in the NPPES registry on January 24, 2023.

Where is Senior Community Care Of Kentucky located?

Senior Community Care Of Kentucky is located at 960 S 4th St, Louisville, KY 40203. The listed phone number is (502) 676-7550.

What is Senior Community Care Of Kentucky's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Senior Community Care Of Kentucky hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2269355) is associated with this NPI, valid through September 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Senior Community Care Of Kentucky was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.