NPIMap

Organization Active NPI

Harbor House of Louisville

  • Non-emergency Medical Transport (VAN)
  • Louisville, KY
National Provider Identifier
1114331642
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
059MBB Issued in KY
Legal business name
HARBOR HOUSE OF LOUISVILLE
Practice address
2231 Lower Hunters Trce
Louisville, KY 40216-1358
Phone
(502) 719-0072
Fax
(502) 719-0078
NPI assigned
Jun 12, 2014
Last updated
Jun 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Mrs. Maria A Smith
Title
Ceo
Phone
(502) 719-0072

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 058MBB KY
Non-emergency Medical Transport (VAN) 343900000X 059MBB KY Primary

Addresses

Primary practice location

2231 Lower Hunters Trce
Louisville, KY 40216-1358

Mailing address

2231 Lower Hunters Trce
Louisville, KY 40216-1358
Phone (502) 719-0072

Other identifiers 1

IdentifierTypeStateIssuer
33000225MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Harbor House of Louisville Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1114331642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 LOWER HUNTERS TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161358",
            "telephone_number": "502-719-0072",
            "fax_number": "502-719-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 LOWER HUNTERS TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161358",
            "telephone_number": "502-719-0072",
            "fax_number": "502-719-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOUSE OF LOUISVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-719-0072",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": "058MBB",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": "059MBB",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33000225",
            "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 Jun 12, 2014; 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.