Organization Active NPI

Developmental Disabilities Services University Corridor

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1295001030
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEVELOPMENTAL DISABILITIES SERVICES UNIVERSITY CORRIDOR
Practice address
5400 Hickory Hill Rd
Louisville, KY 40214-3410
Phone
(502) 415-5712
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Eva J Burch, M.ED.
Title
Executive Director
Phone
(502) 415-5712

Specialties & licenses 1

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

Addresses

Primary practice location

5400 Hickory Hill Rd
Louisville, KY 40214-3410

Mailing address

5400 Hickory Hill Rd
Louisville, KY 40214-3410
Phone (502) 415-5712

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1295001030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 HICKORY HILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143410",
            "telephone_number": "502-415-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 HICKORY HILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143410",
            "telephone_number": "502-415-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL DISABILITIES SERVICES UNIVERSITY CORRIDOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-415-5712",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Apr 27, 2017; 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.