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KENTUCKY CUSTOM CARE PROFESSIONALS
NPI 1922643287
Custodial Care Facility in Boston, KY

Active since November 11, 2019
3200 PATTON RD, BOSTON, KY 40107(502) 331-1085 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kentucky Custom Care Professionals NPPES

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

KENTUCKY CUSTOM CARE PROFESSIONALS (NPI 1922643287) is a healthcare organization registered as a custodial care facility in Boston, Kentucky and active in the NPI registry since November 2019. The organization lists Kimberly Fenwick, Owner, as its authorized official.

NPPES Registry Identity

NPI1922643287
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameKENTUCKY CUSTOM CARE PROFESSIONALS
Location Address3200 PATTON RDBoston, KY 40107-8700
Mailing Address3200 Patton RdBoston, KY 40107-8700 · (502) 331-1085
Phone(502) 331-1085
Organization SubpartNo
Authorized OfficialKimberly FenwickOwner · (502) 331-1085
Enumeration DateNovember 11, 2019
Last NPPES UpdateNovember 12, 2019
✔ NPI 1922643287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X
Also ListedAdult CompanionTaxonomy 372600000X
3200 PATTON RD, Boston, KY 40107
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Other Names 1

Doing Business AsKentucky Custom Care Professionals

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

Other Providers at the Same Location NPPES

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

KENTUCKY CUSTOM CARE PROFESSIONALS
Custodial Care Facility
3200 PATTON RD
BOSTON, KY 40107
Nelson County (502) 331-1085

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 Kentucky Custom Care Professionals's NPI number?

The NPI number for Kentucky Custom Care Professionals is 1922643287. It was assigned to this organization in the NPPES registry on November 11, 2019.

Where is Kentucky Custom Care Professionals located?

Kentucky Custom Care Professionals is located at 3200 Patton Rd, Boston, KY 40107. The listed phone number is (502) 331-1085.

What is Kentucky Custom Care Professionals's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Kentucky Custom Care Professionals was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.