NPIMap

Isaiah House Inc

Organization Active NPI Family Medicine Physician · Versailles, KY

NPI 1477424752 · NPPES record last updated Sep 17, 2025

Key facts

NPI
1477424752
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ISAIAH HOUSE INC
Practice address
4185 Lexington Rd
Versailles, KY 40383-1736
Phone
(859) 275-9200
NPI assigned
Sep 17, 2025
Organization subpart
No

Authorized official

Name
Lucille Koehl
Title
VP
Phone
(317) 755-7433

Corporate family (same tax ID) 18

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2241448Versailles Community Health Center
4185 Lexington Road, Versailles, KY 40383		Certificate of waiverOct 27, 2027

National Provider Directory

Tax ID family
Isaiah House Inc (19 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP		 1223D0001X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

4185 Lexington Rd
Versailles, KY 40383-1736

Mailing address

4185 Lexington Rd
Versailles, KY 40383-1736
Phone (859) 275-9200

Other names

  • Versailles Community Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 17, 2025.

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1477424752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 LEXINGTON RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831736",
            "telephone_number": "859-275-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 LEXINGTON RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831736",
            "telephone_number": "859-275-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAIAH HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "KOEHL",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "317-755-7433"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Versailles Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Versailles, KY

All providers in Versailles, KY · Family Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.