Organization
GRASSHOPPER CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUDY MANUEL ROJAS-VELAZQUEZ RN (OWNER & EXECUTIVE DIRECTOR)
(786) 646-8522
Entity
Organization
Contact information
Practice address
616 MALLARD LAKE BLVD, SHEPHERDSVILLE, KY 40165-5397
(786) 646-8522
Mailing address
616 MALLARD LAKE BLVD, SHEPHERDSVILLE, KY 40165-5397
(786) 646-8522
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
07/28/2023
Last updated
04/05/2025
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