Active NPI
Rhema of Fox Valley
- Multi-Specialty Clinic/Center
- Louisville, KY
National Provider Identifier
1114637667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- RHEMA OF FOX VALLEY
- Practice address
- 1467 S 9TH St
Louisville, KY 40208-2254 - Phone
- (502) 498-0908
- NPI assigned
- Nov 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cameron D Brown
- Title
- Owner/Ceo
- Phone
- (920) 252-9024
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Peer Specialist | 175T00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1467 S 9TH St
Louisville, KY 40208-2254
Mailing address
1705 Crystal Springs Ave
Oshkosh, WI 54902-6122
Phone (920) 252-9024
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Louisville, KY
- NPI 1144948274
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1114637667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 CRYSTAL SPRINGS AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549026122",
"telephone_number": "920-252-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1467 S 9TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402082254",
"telephone_number": "502-498-0908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RHEMA OF FOX VALLEY",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-23",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "CAMERON",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "920-252-9024"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.