Park Louisville, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PARK LOUISVILLE, LLC

Practice address

10451 Linn Station Rd
Louisville, KY 40223-3835

Phone

(502) 423-8776

NPI assigned

Oct 27, 2015

Organization subpart

No

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

Authorized official

Name

Jason Murray

Title

President

Phone

(801) 721-3433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1063884260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233835",
            "telephone_number": "502-423-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK LOUISVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-721-3433"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Euisoon Park Kang, PHARMACIST
• Park Terrace Dialysis, LLC (Trilogy Dialysis - Park Terrace)
• Angela Park
• Heyeon Park
• Rebecca Park, ATC
• Rosa Park, M.D.

• Assisted Living Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Assisted Living Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.