Individual provider · Type 1 NPI

Shanita Flanagan, CNA - CERTIFIED NURS

Adult Care Home Facility · Louisville, KY

NPI number 1003433111 Active

Practice location

4519 Southwestern Parkway
Louisville, KY 40212

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed
Home Health Aide 374U00000XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1003433111

Shanita Flanagan, CNA - CERTIFIED NURS's National Provider Identifier is 1003433111, issued on Jul 6, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Louisville, KY. The record was last updated on Sep 1, 2026.