LOUISVILLE VAMC (NPI# 1649630955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649630955 |
| Entity Type | Organization |
| Organization Name | LOUISVILLE VAMC |
| Other Organization Name | LOUISVILLE VA CARE SITE |
| Practice Address |
800 Zorn Ave Louisville KY 40206-1433 |
| Mailing Address |
Po Box 94508 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| LOUISVILLE VA CARE SITE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508015074 | Louisville Vamc | Clinic/Center | 1911 Us Highway 227, Carrollton, KY 41008-8037 | 2008-09-09 |
| 1144267071 | Louisville Vamc | Clinic/Center | 811 Northgate Blvd, New Albany, IN 47150-6419 | 2006-05-31 |
| 1518910025 | Louisville Vamc | Clinic/Center | 9208 Taylorsville Road, Louisville, KY 40299-9998 | 2006-05-18 |
| 1770732752 | Louisville Vamc | Clinic/Center | 1467 Scott Valley Dr, Scottsburg, IN 47170-7795 | 2008-09-15 |
| 1063668291 | Louisville Vamc | Clinic/Center | 619 W Main St, Clarkson, KY 42726-7044 | 2008-08-07 |
| 1750320735 | Louisville Vamc | Clinic/Center | 3430 Newburg Rd, Louisville, KY 40218-2497 | 2006-06-06 |
| 1851347124 | Louisville Vamc | Clinic/Center | 3934 Dixie Hwy, Suite 210, Louisville, KY 40216-4163 | 2006-05-26 |
| 1699728824 | Louisville Vamc | Clinic/Center | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2006-05-18 |
| 1144279597 | Louisville Vamc | General Acute Care Hospital | 800 Zorn Ave, Louisville, KY 40206-1433 | 2006-05-10 |
| 1538127295 | Louisville Vamc | Department of Veterans Affairs (VA) Pharmacy | 800 Zorn Ave, Louisville, KY 40206-1433 | 2006-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOUISVILLE VAMC | 800 Zorn Ave, Louisville, KY 40206-1433 |
| Street Address |
800 ZORN AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40206-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879162 | Leah D Phillips-black | Nurse Practitioner | 800 Zorn Ave, Louisville, KY 40206-1433 | 2005-05-27 |
| 1477150464 | Erika Alexandra Belloso Gonzalez | Dietitian, Registered | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-10-03 |
| 1871100180 | Allana Boone | Dietitian, Registered | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-30 |
| 1245847458 | Ellyn Schill | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-30 |
| 1750996377 | Shirley Ann Willis | Recreation Therapist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-10 |
| 1902411523 | Sarah Michelle Mizell | Recreation Therapist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-09-10 |
| 1477171171 | Kimberly Williams | Clinic/Center | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-07-08 |
| 1851918817 | Jessica Christine Piercy | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-25 |
| 1477179851 | Kayla Janbakhsh | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-22 |
| 1396369179 | Sydney Elizabeth Sims | Physician Assistant | 800 Zorn Ave, Louisville, KY 40206-1433 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1023547460 | Jeffrey Obiora | Student in an Organized Health Care Education/Training Program | 500 South Preston St, Room 305, Lousiville, KY 40206 | 2017-06-08 |
| 1053840710 | Mary Oliver Humke | Lactation Consultant, Non-RN | 155 N Galt Ave, Louisville, KY 40206 | 2017-06-07 |
| 1417304908 | James Edward Meffert Sr. | Dentist | 1618 Story Ave. (home/office Setting), Louisville, KY 40206 | 2016-05-16 |
| 1235516527 | Jara Nashelle Vega Velez | Internal Medicine | 800 Zorn Ave Dept Of, Louisville, KY 40206 | 2015-05-06 |
| 1184058885 | Reba D Ziller | Occupational Therapist | 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 | 2013-08-29 |
| 1407109176 | Jessica L Hoback | Physical Therapy Assistant | 2141 Sycamore Avenue, Louisville, KY 40206 | 2012-10-18 |
| 1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
| 1053628479 | Adrian J Pellegrini Md | Nurse Practitioner | 170 Crescent Ave, Louisville, KY 40206 | 2010-09-07 |
| 1518297761 | Kiley Nontell Mcneill | Behavioral Analyst | 1100 East Market St., Louisville, KY 40206 | 2010-01-12 |
| Find all providers in zip 40206 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740554864 | Uspiritus-brooklawn-steil | Psychiatric Residential Treatment Facility | 3100 Brooklawn Campus Dr, Louisville, KY 40218 | 2012-03-07 |
| 1730489113 | Maryhurst, Inc. | Psychiatric Residential Treatment Facility | 2115 Goldsmith Ln, Louisville, KY 40218-1206 | 2010-11-01 |
| 1598998619 | Village Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2431 Jones Bend Road, Louisville, TN 37777 | 2009-08-25 |
| 1558591669 | Uspiritus-brooklawn-susan's | Psychiatric Residential Treatment Facility | 2119 Goldsmith Ln, Louisville, KY 40218-1206 | 2009-07-23 |
| 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 |
| 1427258979 | Flatirons Behavorial Health | Psychiatric Residential Treatment Facility | 2255 S 88 St, Louisville, CO 80227-9716 | 2007-07-23 |
| 1033275342 | Uspiritus-brooklawn-horizons | Psychiatric Residential Treatment Facility | 2104 David Graves Dr, Louisville, KY 40218 | 2006-12-29 |
| 1265598270 | Uspiritus-brooklawn-pilots | Psychiatric Residential Treatment Facility | 2108 David Graves Dr, Louisville, KY 40218 | 2006-12-28 |
| 1477618718 | Uspiritus Brooklawn Academy | Psychiatric Residential Treatment Facility | 3115 Brooklawn Campus Dr, Louisville, KY 40218 | 2006-12-27 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40206 |
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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.