Organization
COMMUNICARE INC
Active
Parent organization
COMMUNICARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNICARE INC
Authorized official
LISA WISE (CEO)
(270) 765-2605
Entity
Organization
Contact information
Practice address
1311 N DIXIE HWY, ELIZABETHTOWN, KY 42701-2621
(270) 360-0419
(270) 234-8572
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
800005
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057131
ANTHEM
KY
01
—
2448575000
PASSPORT ADVANTAGE
KY
05
—
2910048400
—
KY
01
—
546916000
MAGELLAN
KY
Enumeration date
02/01/2007
Last updated
07/25/2022
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