OrganizationProdigal Ministries, LlcCounselorBehavioral Health & Social Service ProvidersPractice Address256 Main St Ste B, Florence, KY 41042-2050(502) 222-2389PECOS EnrollmentBased on the most recent information from CMS, provider Prodigal Ministries, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1376313973Provider TypeOrganizationFull NameProdigal Ministries, LlcSubpartNoEnumeration Date1/4/2024Last Updated1/4/2024Contact InformationPractice LocationPractice Address256 Main St Ste B, Florence, KY 41042-2050Phone(502) 222-2389FaxUnlisted FaxMailing LocationMailing AddressPO Box 1484, Crestwood, KY 40014-1484Phone(502) 222-2389FaxUnlisted FaxAuthorized OfficialNameRoy, Nina J (Reconciliation Director)Phone(270) 585-4306Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode324500000XDescriptionSubstance Abuse Rehabilitation FacilityResidential Treatment FacilitiesLicenseUnlisted Issuer