Active NPI
Recovery on Chestnut
- Substance Abuse Rehabilitation Facility
- Louisville, KY
National Provider Identifier
1194274613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- RECOVERY ON CHESTNUT
- Practice address
- 2100 W Chestnut St
Louisville, KY 40211-1078 - Phone
- (502) 565-1200
- NPI assigned
- Sep 26, 2016
- Organization subpart
- Yes
- Parent organization
- THE HEALING PLACE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cory Moneymaker, LCADC, CADC, MSSW
- Title
- Manager of Clinical Services
- Phone
- (502) 548-4121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2100 W Chestnut St
Louisville, KY 40211-1078
Mailing address
2100 W Chestnut St
Louisville, KY 40211-1078
Phone (502) 565-1200
National Provider Directory
National Provider Directory- Tax ID family
- Recovery Louisville
- Part of
- Recovery Louisville
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
- NPI 1952846933
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1033065727
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1124574488
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1124574488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
- NPI 1447797683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474848000000",
"number": "1194274613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402111078",
"telephone_number": "502-565-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402111078",
"telephone_number": "502-565-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY ON CHESTNUT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE HEALING PLACE",
"enumeration_date": "2016-09-26",
"last_updated": "2016-09-26",
"status": "A",
"authorized_official_last_name": "MONEYMAKER",
"authorized_official_first_name": "CORY",
"authorized_official_title_or_position": "MANAGER OF CLINICAL SERVICES",
"authorized_official_telephone_number": "502-548-4121",
"authorized_official_credential": "LCADC, CADC, MSSW"
},
"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 Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.