Organization
RK, ADC, LLC
Active
Organization
RK, ADC, LLC
Active
Parent organization
RK ADC LLC
Other names
Gathering Club
Organization subpart
Yes
Provider details
NPI number
Legal business name
RK ADC LLC
Authorized official
EDWARD JOSEPH MINNIS (EXECUTIVE DIRECTOR/ADMINISTRATOR)
(502) 365-2586
Entity
Organization
Contact information
Practice address
4936 BROWNSBORO ROAD, LOUISVILLE, KY 40222
(502) 365-2586
Mailing address
4940 HAZELWOOD AVENUE, SUITE 102, LOUISVILLE, KY 40214-1270
(502) 819-1297
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100272830
—
KY
05
—
7100686200
—
KY
05
—
7100736930
—
KY
05
—
7100775650
—
KY
01
—
750185
CABINET FOR HEALTH AND FAMILY SERVICES - ADHC LICENSE - SOUTH END
KY
01
—
750220
CABINET FOR HEALTH AND FAMILY SERVICES - ADHC LICENSE - EAST END
KY
Enumeration date
10/26/2022
Last updated
11/08/2022
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