Organization Active NPI

Burundian Community of Kentucky, Inc.

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1245689264
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPCCCA00225130 Issued in KY
Legal business name
BURUNDIAN COMMUNITY OF KENTUCKY, INC.
Practice address
1300 S 4TH St Ste 240
Louisville, KY 40208-2314
Phone
(502) 650-3804
NPI assigned
Jun 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Victor Eddie Sr.
Title
Executive Director
Phone
(502) 650-3804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPCCCA00225130 KY Primary

Addresses

Primary practice location

1300 S 4TH St Ste 240
Louisville, KY 40208-2314

Mailing address

1300 S 4TH St Ste 240
Louisville, KY 40208-2314
Phone (502) 650-3804

Other names 1

  • New Hope, Inc. International Doing business as

National Provider Directory

National Provider Directory

Locations

1300 S 4th St
Ste 240
Louisville, KY 40208
Phone (502) 634-3540

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1245689264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S 4TH ST STE 240",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082314",
            "telephone_number": "502-650-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S 4TH ST STE 240",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082314",
            "telephone_number": "502-650-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURUNDIAN COMMUNITY OF KENTUCKY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "EDDIE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-650-3804",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "LPCCCA00225130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Hope, Inc. International",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 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.

Verify at the official NPI Registry.