LANDMARK RECOVERY OF LOUISVILLE LLC (NPI# 1477914166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477914166 |
| Entity Type | Organization |
| Organization Name | LANDMARK RECOVERY OF LOUISVILLE LLC |
| Practice Address |
4418 Malcolm Ave Louisville KY 40215-1122 |
| Practice Telephone | 5026320315 |
| Mailing Telephone | 5026320315 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | JESSICA PROCHUT (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4806198556 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205307220 | Landmark Recovery of Louisville LLC | Substance Abuse Rehabilitation Facility | 4825 Nw 23rd St, Oklahoma City, OK 73127-1800 | 2018-12-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Landmark Recovery of Louisville LLC | 4835 E Cactus Rd Ste 130, Scottsdale, Arizona 85254-3545 |
| Street Address |
4418 MALCOLM AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303478 | Praxis Recovery LLC | Substance Abuse Rehabilitation Facility | 4418 Malcolm Ave, Louisville, KY 40215-1122 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700385325 | Journeypure Louisville, LLC | Substance Abuse Rehabilitation Facility | 3430 Newburg Rd Ste 208, Louisville, KY 40218-2458 | 2018-02-09 |
| 1194274613 | Recovery On Chestnut | Substance Abuse Rehabilitation Facility | 2100 W Chestnut St, Louisville, KY 40211-1078 | 2016-09-26 |
| 1942651310 | Augustine Hall Transitional Living Center | Substance Abuse Rehabilitation Facility | 1455 S Preston St, Suite 905, Louisville, KY 40208-2717 | 2016-06-28 |
| 1609271832 | Interlink Counseling Services, Inc. | Substance Abuse Rehabilitation Facility | 8311 Preston Hwy, Louisville, KY 40219-5309 | 2014-10-30 |
| 1740524362 | Recovery Help, LLC. | Substance Abuse Rehabilitation Facility | 209 Townepark Cir, Suite 100, Louisville, KY 40243-2323 | 2012-11-20 |
| 1558479758 | Cornerstone of Recovery | Substance Abuse Rehabilitation Facility | 1214 Topside Rd, Louisville, TN 37777-5505 | 2006-08-28 |
| 1477027555 | Ladies of Promises Inc. | Substance Abuse Rehabilitation Facility | 2133 W Market St, Louisville, KY 40212-1532 | 2019-01-11 |
| 1104303478 | Praxis Recovery LLC | Substance Abuse Rehabilitation Facility | 4418 Malcolm Ave, Louisville, KY 40215-1122 | 2018-07-19 |
| 1952851859 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 9702 Stonestreet Rd, Suite 120, Louisville, KY 40272 | 2016-10-04 |
| 1467825604 | Passageways Medical Therapy, Inc. | Substance Abuse Rehabilitation Facility | 4006 Dutchmans Ln, Louisville, KY 40207-4704 | 2015-11-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.