Debras House, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DEBRAS HOUSE, LLC

Practice address

2923 Virginia Ave
Louisville, KY 40211-3420

Phone

(502) 775-6507

Fax

(502) 632-1432

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Jacqueline Sanders

Title

Billing Director

Phone

(502) 630-2036

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1194306613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 VIRGINIA AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402113420",
            "telephone_number": "502-775-6507",
            "fax_number": "502-632-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 VIRGINIA AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402113420",
            "telephone_number": "502-775-6507",
            "fax_number": "502-632-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRAS HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "502-630-2036"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Ballard MD, Integrative Medicine PLLC
• Deborah Buzzard Inc.
• Deborah Holladay Counseling, M.S., LPCC PSC
• Leona Susanne Debord Martin
• Brenda Sue Debord, M.A.,R.D.,L.D.,C.D.
• Emily Debrock
• Robert F Debski, MD
• Liduvina Isabel Decarlo, APRN
• Lucas Ray Deckard, DPT
• Mikayla Lauren Deckard

• Multi-Specialty Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.