NPIMap

Organization Active NPI

Anant Integrated Health Services, LLC

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1275010753
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1144558701 Issued in KY
Legal business name
ANANT INTEGRATED HEALTH SERVICES, LLC
Practice address
9913 Shelbyville Rd Ste 103
Louisville, KY 40223-2907
Phone
(980) 777-0586
NPI assigned
Jul 26, 2018
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Mr. Davarres AlexanderNPI 1649827171
Title
Chief Executive Officer
Phone
(980) 777-0586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1144558701 KY Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1144558701 KY
Adult Mental Health Clinic/Center 261QM0850X 1144558701 KY
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1144558701 KY

Addresses

Primary practice location

9913 Shelbyville Rd Ste 103
Louisville, KY 40223-2907

Mailing address

9913 Shelbyville Rd Ste 103
Louisville, KY 40223-2907
Phone (980) 777-0586

Other practice location 1

104 Brigadoon Pkwy
Lexington, KY 40517-1305
Phone (980) 777-0586

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1275010753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 SHELBYVILLE RD STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232907",
            "telephone_number": "980-777-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9913 SHELBYVILLE RD STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232907",
            "telephone_number": "980-777-0586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Brigadoon Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405171305",
            "country_code": "US",
            "telephone_number": "980-777-0586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANANT INTEGRATED HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DAVARRES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "980-777-0586",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "1144558701",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KY",
            "license": "1144558701",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "KY",
            "license": "1144558701",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "KY",
            "license": "1144558701",
            "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 Apr 20, 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.