National Provider Identifier Database

ASSUREDLINK CASE MANAGEMENT AGENCY
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

ASSUREDLINK CASE MANAGEMENT AGENCY
1990 LOUISVILLE RD
101
BOWLING GREEN, KY42101-1202
Phone: 270-599-0212
Fax:
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X
Case Management 251B00000X
Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for ASSUREDLINK CASE MANAGEMENT AGENCY

NPI Number 1205267671
Legal business name
LBN
ASSUREDLINK CASE MANAGEMENT AGENCY
Authorized official DEMETRIUS KING - (OWNER/ EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/10/2013
Last updated 03/03/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 171431
  • KY License #: 7100347620
  • KY License #: K12245600
  • KY Medicaid: 7100224880
  • KY Medicaid: 7100347620
  • KY Medicaid: 7100438780

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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