NPIMap

Organization Active NPI

Isaiah House, Inc

Doing business as Jake Keurtz Center

  • Substance Abuse Rehabilitation Facility
  • Chaplin, KY
National Provider Identifier
1356844039
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ISAIAH HOUSE, INC
Doing business as
Jake Keurtz Center
Practice address
100 Broadway St Ste 102
Chaplin, KY 40012-8087
Phone
(859) 375-9200
Fax
(859) 375-9202
NPI assigned
Mar 9, 2018
Last updated
Mar 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Sydney A Ayers
Title
Billing Manager
Phone
(859) 375-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

100 Broadway St Ste 102
Chaplin, KY 40012-8087

Mailing address

PO Box 188
Willisburg, KY 40078-0188
Phone (859) 375-9200

Other names 1

  • Jake Keurtz Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Isaiah House Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1356844039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "WILLISBURG",
            "state": "KY",
            "postal_code": "400780188",
            "telephone_number": "859-375-9200",
            "fax_number": "859-375-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROADWAY ST STE 102",
            "city": "CHAPLIN",
            "state": "KY",
            "postal_code": "400128087",
            "telephone_number": "859-375-9200",
            "fax_number": "859-375-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAIAH HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "859-375-9200"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jake Keurtz Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chaplin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.