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Masonic Homes of Kentucky Pediatric Daycare Inc

Occupational Therapist in Masonic Home, KY · enumerated 2012 · authorized official Kim Boden, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164785846

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Registry record

Entity type Organization (Type 2)
Legal business name Masonic Homes of Kentucky Pediatric Daycare Inc
Parent organization Masonic Homes of Kentucky Inc
Practice address 330 Masonic Home Dr, Masonic Home, KY, 40041
Fax (502) 753-8223
Enumeration date Jun 19, 2012
Last updated in NPPES Jun 19, 2012

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Kim Boden
Title Executive Director

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.

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Frequently asked questions

What is the NPI number for Masonic Homes of Kentucky Pediatric Daycare Inc?
The NPI for Masonic Homes of Kentucky Pediatric Daycare Inc is 1164785846, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Masonic Homes of Kentucky Pediatric Daycare Inc?
NPPES lists Kim Boden (Executive Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-19.