Organization Active NPI

Mended Hearts Recovery LLC.

  • Community/Behavioral Health Agency
  • Winchester, KY
National Provider Identifier
1013737055
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MENDED HEARTS RECOVERY LLC.
Practice address
36 E Lexington Ave Unit a
Winchester, KY 40391-2031
Phone
(606) 585-4553
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawn McCarty, CPSSNPI 1649909854
Title
Ceo
Phone
(859) 967-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

36 E Lexington Ave Unit a
Winchester, KY 40391-2031

Mailing address

723 Williamsburg Dr
Winchester, KY 40391-8413
Phone (859) 967-4444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1013737055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 WILLIAMSBURG DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918413",
            "telephone_number": "859-967-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E LEXINGTON AVE UNIT A",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912031",
            "telephone_number": "606-585-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED HEARTS RECOVERY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-967-4444",
        "authorized_official_credential": "CPSS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.