Northern Kentucky Consumer Directed Options Program
Northern Kentucky Consumer Directed Options Program is a healthcare organization registered as Supports Brokerage Agency in Florence, KY, holding Type 2 (organization) NPI 1104958370 since 2007. The authorized official on file is Larry Bosley, Finance Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104958370 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northern Kentucky Consumer Directed Options Program |
| Practice address | 22 SPIRAL DR, Florence, KY, 41042 |
| Phone | 8592831885 |
| Fax | 8592838178 |
| Enumeration date | 2007-03-12 |
| Last updated in NPPES | 2015-04-22 |
Authorized official
| Name | Larry Bosley |
|---|---|
| Title | Finance Officer |
| Phone | 8592831885 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251X00000X | Supports Brokerage Agency | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43996073 | Medicaid | KY | — |
Copy-ready billing details
Provider: Northern Kentucky Consumer Directed Options Program NPI: 1104958370 Taxonomy: 251X00000X (Supports Brokerage Agency) Address: 22 SPIRAL DR, Florence, KY, 41042
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093982795 | Northern Kentucky Consumer Directed Option Program | Organization | Supports Brokerage Agency | Florence, KY |
| 1285801985 | Northern Kentucky Consumer Directed Option Program | Organization | Supports Brokerage Agency | Florence, KY |
Verify this record
Cross-check NPI 1104958370 against the authoritative CMS record: view Northern Kentucky Consumer Directed Options Program on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Northern Kentucky Consumer Directed Options Program?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-04-22.