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MODERN CARE LLC
NPI 1922527522
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Campbellsville, KY

Active since September 14, 2017
104 NANCY COX DR STE D, CAMPBELLSVILLE, KY 42718(270) 465-8508(270) 465-8504 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017 (2 updates tracked since 2017).

About Modern Care Llc NPPES

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

MODERN CARE LLC (NPI 1922527522) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Campbellsville, Kentucky and active in the NPI registry since September 2017. The organization lists Stacey Jewell, Program Director, as its authorized official.

NPPES Registry Identity

NPI1922527522
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMODERN CARE LLC
Location Address104 NANCY COX DR STE DCampbellsville, KY 42718-6835
Mailing Address104 Nancy Cox Dr Ste DCampbellsville, KY 42718-6835 · (270) 465-8508 · Fax (270) 465-8504
Phone(270) 465-8508
Fax(270) 465-8504
Organization SubpartNo
Authorized OfficialStacey JewellProgram Director · (270) 465-8508
Enumeration DateSeptember 14, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1922527522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
104 NANCY COX DR STE D, Campbellsville, KY 42718
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Other Identifiers 1

Medicaid7100144580KY

Other Providers at the Same Location NPPES

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

TARA RENEE HURST OT
Occupational Therapist
104 NANCY COX DR STE D
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-8508

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 Modern Care LLC's NPI number?

The NPI number for Modern Care LLC is 1922527522. It was assigned to this organization in the NPPES registry on September 14, 2017.

Where is Modern Care LLC located?

Modern Care LLC is located at 104 Nancy Cox Dr Ste D, Campbellsville, KY 42718. The listed phone number is (270) 465-8508.

What is Modern Care LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Modern Care LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.