Provider Demographics
NPI:1104141357
Name:CARE LINKS
Entity type:Organization
Organization Name:CARE LINKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KEOWN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:502-477-2911
Mailing Address - Street 1:851 MCINTOSH DR
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40071-8407
Mailing Address - Country:US
Mailing Address - Phone:502-477-2911
Mailing Address - Fax:
Practice Address - Street 1:851 MCINTOSH DR
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40071-8407
Practice Address - Country:US
Practice Address - Phone:502-477-2911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3968P311ZA0620X, 313M00000X, 314000000X, 310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0966601OtherMEDICARE-UNSPECIFIED
KY78903952Medicaid
KY0966601OtherMEDICARE-UNSPECIFIED