Rebirth & Renewal Family Resource Center LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

REBIRTH & RENEWAL FAMILY RESOURCE CENTER LLC

Practice address

2900 W Broadway Ste 4
Louisville, KY 40211-1281

Phone

(502) 592-2009

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Marshall-KingNPI 1114416302

Title

Owner

Phone

(502) 592-2009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Sandra Dean Marshall-King

  • Case Manager/Care Coordinator
  • Louisville, KY
  • NPI 1114416302
  NPD Authorized official

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1073090874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W BROADWAY STE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111281",
            "telephone_number": "502-592-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W BROADWAY STE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402111281",
            "telephone_number": "502-592-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBIRTH & RENEWAL FAMILY RESOURCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "MARSHALL-KING",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-592-2009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100542650",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa M. Rearick, D.O.
• Gary Lloyd Reasor, M.D.
• Tomascina Reaugh, P.T.
• Nicholas Erik Rebhan, MD
• Whitney Nicole Rebholz, PH.D.
• Leslie Reccius, PHARMD
• Catherine Ann Receveur, CSW
• Allison D Recktenwald
• Amber Renee Recktenwald
• Kimberly Recktenwald

• Addiction (Substance Use Disorder) Counselor in Louisville, KY
• Providers in Louisville, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; 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.