AUGUSTINE HALL TRANSITIONAL LIVING CENTER (NPI# 1942651310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942651310 |
Entity Type | Organization |
Organization Name | AUGUSTINE HALL TRANSITIONAL LIVING CENTER |
Practice Address |
1455 S Preston St Suite 905 Louisville KY 40208-2717 |
Practice Telephone | 5025879737 |
Mailing Telephone | 5025879737 |
Enumeration Date | 2016-06-28 |
Last Update Date | 2016-06-28 |
Authorized Official Name | KEITH MCKENZIE (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5025879737 |
Is Organization Subpart | Y |
Parent Organization Name | GREATER LOUISVILLE COUNSELING CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 810479 | KY | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100323580 | 05 |
Street Address |
1455 S PRESTON ST SUITE 905 |
City | LOUISVILLE |
State | KY |
Zip Code | 40208-2717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447784764 | Emmanuel Nwaogu | Nurse Practitioner | 720 West Hill St, Norton Louisville Primary Care, Louisville, KY 40208 | 2017-04-13 |
1295277226 | Ausi Transort, LLC | Non-emergency Medical Transport (VAN) | 1907-c S 4th St, Louisville, KY 40208 | 2016-11-08 |
1962954198 | Daniel Thomas | Specialist/Technologist | 1514 Central Avenue, Louisville, KY 40208 | 2016-11-04 |
1720321185 | Moiz Ahmad Khan | Student in an Organized Health Care Education/Training Program | 619 Montana Ave, Louisville, KY 40208 | 2013-04-03 |
1831140771 | Rebecca P Pirkle | Nurse Practitioner | 215 Central Station, 102, Louisville, KY 40208 | 2006-05-15 |
1689231375 | Jennifer Hofelich | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2019-05-29 |
1902283609 | Ashley Mefford Iles | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-05-01 |
1063808137 | Sean Warren | Family Medicine | 215 Central Ave Ste 100, Louisville, KY 40208 | 2015-04-15 |
1962892125 | Catherine Leigh Stone | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2015-01-27 |
1659636199 | Robbie Brewer Blair | Social Worker | 720 W Hill St, Louisville, KY 40208 | 2012-07-11 |
Find all providers in zip 40208 |
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 |
1477914166 | Landmark Recovery of Louisville LLC | Substance Abuse Rehabilitation Facility | 4418 Malcolm Ave, Louisville, KY 40215-1122 | 2016-03-09 |
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 | 40208 |
Please comment or provide details below to improve the information on AUGUSTINE HALL TRANSITIONAL LIVING CENTER.
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.