Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamine Elijah Supernova

Individual provider Case Manager/Care Coordinator · NPI 1770284036

Benjamine Elijah Supernova is a Case Manager/Care Coordinator in Shelbyville, Kentucky. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

213 Midland Blvd
Shelbyville, KY 40065-7791
Phone: (502) 647-0154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1770284036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2023
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address213 Midland Blvd, Shelbyville, KY 40065-7791

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