Organization Active NPI

Praxis Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
National Provider Identifier
1104303478
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PRAXIS RECOVERY LLC
Practice address
4418 Malcolm Ave
Louisville, KY 40215-1122
Phone
(888) 448-0302
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Matt Boyle
Title
Chief Operating Officer
Phone
(469) 394-9083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4418 Malcolm Ave
Louisville, KY 40215-1122

Mailing address

4418 Malcom Avenue
Louisville, KY 40215

Other practice location 1

4419 Lasalle Avenue
Louisville, KY 40215
Phone (888) 448-0302

National Provider Directory

National Provider Directory

Locations

4418 Malcolm Ave
Louisville, KY 40215
Phone (480) 261-2005

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1104303478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 MALCOM AVENUE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 MALCOLM AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151122",
            "telephone_number": "888-448-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4419 Lasalle Avenue",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40215",
            "country_code": "US",
            "telephone_number": "888-448-0302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRAXIS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "469-394-9083"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 19, 2018; 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.