Organization Active NPI

Time to Surrender

  • Substance Abuse Rehabilitation Facility
  • Elizabethtown, KY
National Provider Identifier
1396567723
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TIME TO SURRENDER
Practice address
109 Parkway Dr
Elizabethtown, KY 42701
Phone
(270) 401-6611
Fax
(270) 982-1315
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Mrs. Jarutha Barnett
Title
Ceo
Phone
(270) 401-6611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

109 Parkway Dr
Elizabethtown, KY 42701

Mailing address

PO Box 1086
Elizabethtown, KY 42702-1086
Phone (270) 401-6611

National Provider Directory

National Provider Directory

Locations

109 Parkway Dr
Elizabethtown, KY 42701
Phone (270) 401-6611

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1396567723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427021086",
            "telephone_number": "270-401-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PARKWAY DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-401-6611",
            "fax_number": "270-982-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME TO SURRENDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JARUTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-401-6611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.