Active NPI
Restoration House LLC
- Community/Behavioral Health Agency
- Louisville, KY
National Provider Identifier
1336836691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RESTORATION HOUSE LLC
- Practice address
- 2600 W Broadway Ste 209
Louisville, KY 40211-1370 - Phone
- (502) 907-7541
- NPI assigned
- Apr 18, 2023
- Last updated
- Apr 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Jones
- Title
- Owner
- Phone
- (502) 907-7541
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2600 W Broadway Ste 209
Louisville, KY 40211-1370
Mailing address
2600 W Broadway Ste 209
Louisville, KY 40211-1370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2600 W Broadway
Ste 209
Louisville, KY 40211
Phone (502) 493-7794
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.
-
- Nurse Practitioner
- Louisville, KY
- NPI 1730855594
-
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
- NPI 1659084994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745280000000",
"number": "1336836691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 W BROADWAY STE 209",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402111370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 W BROADWAY STE 209",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402111370",
"telephone_number": "502-907-7541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATION HOUSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-18",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-907-7541"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Resources for Education, Adaptation, Change, and Health, Inc. (REACH of Louisville, Inc.)
- Resp-a-Care Inc (Rotech of Central Kentucky)
- Debra A Ress
- Restoration at Servants Heart LLC
- Restoration Center Inc.
- Restorative Pain Institute
- Restorative Pain Institute
- Restorative Pain Institute
- Restore & Flow Studio
- Restore Rehabilitation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.