1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Family Medicine
  6. NPI Profile

BLUEGRASS EXTENDED CARE SERVICES LLC
NPI 1912274044
Family Medicine in Lexington, KY

Active since November 17, 2011CLIA Certified · 2 labs
989 GOVERNORS LN STE 240, LEXINGTON, KY 40513(859) 338-3958(859) 368-8135 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 13, 2026, Jul 22, 2024 (2 updates tracked since 2024).

About Bluegrass Extended Care Services Llc NPPES

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

BLUEGRASS EXTENDED CARE SERVICES LLC (NPI 1912274044) is a healthcare organization registered as a family medicine in Lexington, Kentucky and active in the NPI registry since November 2011. The organization holds 2 active CLIA laboratory certificates and lists John W. Richard, Owner, as its authorized official.

NPPES Registry Identity

NPI1912274044
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUEGRASS EXTENDED CARE SERVICES LLC
Location Address989 GOVERNORS LN STE 240Lexington, KY 40513-1175
Mailing Address989 Governors Ln Ste 240Lexington, KY 40513-1175 · (859) 338-3958 · Fax (859) 368-8135
Phone(859) 338-3958
Fax(859) 368-8135
Organization SubpartNo
Authorized OfficialJohn W. RichardOwner · (859) 338-3958
Enumeration DateNovember 17, 2011
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1912274044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
989 GOVERNORS LN STE 240, Lexington, KY 40513
Open in Google Maps ↗

Other Identifiers 3

Medicaid7100206250KY
Medicaid7100185160KY
Medicaid7100192070KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 18D2321397

Bluegrass Extended Care Services · Lexington, KY
Active · expires Apr 2, 2027
CLIA Number18D2321397
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorDr. John W. Richard
Laboratory Phone(859) 338-3958
Laboratory LocationBluegrass Extended Care Services989 Governors Lane Suite 240, Lexington, KY 40513
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 18D2089947

Bluegrass Extended Care · Lexington, KY
Active · expires Dec 10, 2026
CLIA Number18D2089947
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorDr. John Richard
Laboratory Phone(859) 338-3958
Laboratory LocationBluegrass Extended Care989 Governors Lane Suite 140, Lexington, KY 40513
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

MS. ANNA B MERRITT LPCC
Counselor (Mental Health)
989 GOVERNORS LN STE 240
LEXINGTON, KY 40513
Fayette County (859) 457-7505
MRS. JANET FLINN APRN
Nurse Practitioner
989 GOVERNORS LN STE 240
LEXINGTON, KY 40513
Fayette County (859) 338-3958
JOHN W. RICHARD MD
Family Medicine
989 GOVERNORS LN STE 240
LEXINGTON, KY 40513
Fayette County (859) 338-3958
MS. MARY LEE EDWARDS APRN
Nurse Practitioner (Family)
989 GOVERNORS LN STE 240
LEXINGTON, KY 40513
Fayette County (859) 338-3958
DESHANA A. COLLETT PA-C
Physician Assistant
989 GOVERNORS LN STE 240
LEXINGTON, KY 40513
Fayette County (859) 338-3958
MRS. GENE NOCHTA APRN
Nurse Practitioner (Family)
989 GOVERNORS LN STE 240
LEXINGTON, KY 40513
Fayette County (859) 338-3958
ELIZABETH K MENTZER PA-C
Physician Assistant
989 GOVERNORS LN STE 240
LEXINGTON, KY 40513
Fayette County (859) 338-3958
KATHERINE R WAUGH APRN
Nurse Practitioner
989 GOVERNORS LN STE 240
LEXINGTON, KY 40513
Fayette County (859) 338-3958

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 Bluegrass Extended Care Services LLC's NPI number?

The NPI number for Bluegrass Extended Care Services LLC is 1912274044. It was assigned to this organization in the NPPES registry on November 17, 2011.

Where is Bluegrass Extended Care Services LLC located?

Bluegrass Extended Care Services LLC is located at 989 Governors Ln Ste 240, Lexington, KY 40513. The listed phone number is (859) 338-3958.

What is Bluegrass Extended Care Services LLC's specialty?

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

Does Bluegrass Extended Care Services LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bluegrass Extended Care Services LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Bluegrass Extended Care Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bluegrass Extended Care Services LLC was last updated on January 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.