ALTERNATIVE YOUTH SERVICES, INC. (NPI# 1700057833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700057833 |
| Entity Type | Organization |
| Organization Name | ALTERNATIVE YOUTH SERVICES, INC. |
| Other Organization Name | CHILDREN SANCTUARY CENTRAL |
| Practice Address |
200 High Rise Dr Suite 155 Louisville KY 40213-3252 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 2604850870 |
| Mailing Telephone | 8008660860 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DEENA OMBRES (PRIVACY OFFICER) |
| Authorized Official Telephone | 5023152387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | KY | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Children Sanctuary Central | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378111 | Alternative Youth Services, Inc. | Community/Behavioral Health | 11218 Professional Park Dr, Louisville, KY 40291-4476 | 2020-05-28 |
| 1770878894 | Alternative Youth Services, Inc. | Clinic/Center | 211 Goose Hollow Rd, Reynolds, GA 31076-3505 | 2011-06-16 |
| 1336310465 | Alternative Youth Services, Inc. | Intermediate Care Facility, Mentally Retarded | 195 E Lincoln Trail Blvd, Radcliff, KY 40160-1253 | 2008-03-17 |
| 1093119869 | Alternative Youth Services, Inc. | Foster Care Agency | 200 High Rise Dr, Suite 155, Louisville, KY 40213-3252 | 2014-10-22 |
| 1538560677 | Alternative Youth Services, Inc. | Foster Care Agency | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2014-09-09 |
| 1306193123 | Alternative Youth Services, Inc. | Foster Care Agency | 1350 Cleveland St, Suite B, Greenville, SC 29607-2440 | 2012-08-10 |
| 1730350869 | Alternative Youth Services, Inc. | Intermediate Care Facility, Mentally Retarded | 2530 Scottsville Rd, Suite # 100, Bowling Green, KY 42104-6310 | 2008-03-17 |
| 1225243868 | Alternative Youth Services, Inc. | Specialist | 120 Freeman Dr, Lewisburg, TN 37091-3047 | 2007-05-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | ALTERNATIVE YOUTH SERVICES, INC. | 10140 Linn Station Rd, Louisville, KY 40223 |
| Street Address |
200 HIGH RISE DR SUITE 155 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40213-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255396610 | Yasier A Basheer-gowi | Family Medicine | 200 High Rise Dr, Ste 374, Louisville, KY 40213-3252 | 2006-04-19 |
| 1093119869 | Alternative Youth Services, Inc. | Foster Care Agency | 200 High Rise Dr, Suite 155, Louisville, KY 40213-3252 | 2014-10-22 |
| 1992127021 | Laura Bennett | Case Management | 200 High Rise Dr, Louisville, KY 40213-3252 | 2014-01-08 |
| 1427489418 | Elizabeth Johnson | Marriage & Family Therapist | 200 High Rise Dr, Suite 374, Louisville, KY 40213-3252 | 2013-12-02 |
| 1720418114 | Nicholas Allan Brown | Case Manager/Care Coordinator | 200 High Rise Dr, #330, Louisville, KY 40213-3252 | 2013-11-20 |
| 1336579838 | Brittany Hamilton | Case Manager/Care Coordinator | 200 High Rise Dr, Louisville, KY 40213-3252 | 2013-11-19 |
| 1508205790 | Emma Groskind | Community Health Worker | 200 High Rise Dr, Ste. 330, Louisville, KY 40213-3252 | 2013-06-20 |
| 1487093894 | Jonathan Frazier | Community Health Worker | 200 High Rise Dr, Ste. 330, Louisville, KY 40213-3252 | 2013-06-19 |
| 1558700963 | Jennifer O'connor | Counselor | 200 High Rise Dr, Ste. 330, Louisville, KY 40213-3252 | 2013-06-19 |
| 1891134201 | Tyler Spears | Community Health Worker | 200 High Rise Dr, Ste. 330, Louisville, KY 40213-3252 | 2013-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130076 | Latonia Cheeks | Counselor | 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 | 2018-07-17 |
| 1225553431 | Kandace Ratterman | Case Manager/Care Coordinator | 4814 Kingfisher Way, Louisville, KY 40213 | 2017-08-08 |
| 1700338456 | Ann Devos | Physician Assistant | 3303 Fern Valley Road, Louisville, KY 40213 | 2016-10-28 |
| 1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
| 1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
| 1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
| 1790814408 | Howard L Green | Dentist | 3813 Poplar Level Rd, Louisville, KY 40213 | 2007-03-06 |
| 1063587970 | Roy Hyman | Optometrist | 5202 Preston Hwy, Louisville, KY 40213 | 2006-11-24 |
| 1689769291 | James H Kidwell | Psychologist | 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 | 2006-10-03 |
| 1366556524 | Harris & Harris Dmd Psc | Dentist | 5014 Preston Hwy, #b, Louisville, KY 40213 | 2006-08-17 |
| Find all providers in zip 40213 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306017439 | The Academy for Individual Excellence, Inc. | Intermediate Care Facility, Mentally Retarded | 3101 Bluebird Ln, Louisville, KY 40299-3803 | 2008-03-17 |
| 1538356712 | Voca Corporation of Ohio | Intermediate Care Facility, Mentally Retarded | 4230 Lesh St, Louisville, OH 44641-8605 | 2007-10-01 |
| 1083785125 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 4401-4505 Louise Underwood Way, Louisville, KY 40216 | 2006-11-12 |
| 1598721383 | Petersen Health Quality, LLC | Intermediate Care Facility, Mentally Retarded | 52 Old Rte 45, Louisville, IL 62858-0116 | 2006-04-21 |
| 1043298979 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 5512 Del Maria Way, Louisville, KY 40291-1810 | 2005-12-30 |
| 1316241961 | Southern Home Care Services, Inc. | Intermediate Care Facility, Mentally Retarded | 9901 Linn Station Rd, Louisville, KY 40223-3808 | 2010-12-22 |
| 1275836124 | Southern Home Care Services, Inc. | Intermediate Care Facility, Mentally Retarded | 9901 Linn Station Rd, Louisville, KY 40223-3808 | 2010-12-15 |
| 1922233469 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 9901 Linn Station Rd, Louisville, KY 40223-3808 | 2009-05-28 |
| 1467624288 | Voca Corporation of Florida | Intermediate Care Facility, Mentally Retarded | 9901 Linn Station Rd, Louisville, KY 40223-3808 | 2008-04-01 |
| 1033197967 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2005-12-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40213 |
Please comment or provide details below to improve the information on ALTERNATIVE YOUTH SERVICES, INC..
| 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.