NPIMap

Organization Active NPI

Volunteers of America Mid-States

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1063857373
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VOLUNTEERS OF AMERICA MID-STATES
Practice address
1436 S Shelby St
Louisville, KY 40217-1107
Phone
(502) 636-0742
Fax
(502) 636-0597
NPI assigned
May 1, 2013
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Jennifer L McMinn, LCSWNPI 1194869230
Title
VP Program Services Central Region
Phone
(502) 314-0100

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 KY Primary

Addresses

Primary practice location

1436 S Shelby St
Louisville, KY 40217-1107

Mailing address

570 S 4TH St
Suite 100
Louisville, KY 40202-2504
Phone (502) 636-0771

Other identifiers 1

IdentifierTypeStateIssuer
800145OtherKYBHSO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2107643Volunteers of America1436 S Shelby Street, Louisville, KY 40217Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of America Mid-States4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1436 S Shelby St
Louisville, KY 40217
Phone (502) 635-4530

570 S 4th St
#100
Louisville, KY 40202

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1063857373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 S 4TH ST",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022504",
            "telephone_number": "502-636-0771",
            "fax_number": "502-637-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 S SHELBY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171107",
            "telephone_number": "502-636-0742",
            "fax_number": "502-636-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEERS OF AMERICA MID-STATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "MCMINN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP PROGRAM SERVICES CENTRAL REGION",
        "authorized_official_telephone_number": "502-314-0100",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHSO",
            "identifier": "800145",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.