NPIMap

Organization Active NPI

Isaiah House Inc

  • Substance Abuse Rehabilitation Facility
  • Harrodsburg, KY
National Provider Identifier
1639645559
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ISAIAH HOUSE INC
Practice address
5866 Bohon Rd
Harrodsburg, KY 40330
Phone
(859) 375-9200
Fax
(859) 375-9202
NPI assigned
Oct 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 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
Adminstrator
Phone
(859) 375-9200

Specialties & licenses 1

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

Addresses

Primary practice location

5866 Bohon Rd
Harrodsburg, KY 40330

Mailing address

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

Other names 1

  • Lisa Walker Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2241449Lisa Walker Center5866 Bohon Road, Harrodsburg, KY 40330Certificate of waiverOct 27, 2027

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1639645559",
    "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": "5866 BOHON RD",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "40330",
            "telephone_number": "859-375-9200",
            "fax_number": "859-375-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAIAH HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "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": "Lisa Walker Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lisa Walker Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrodsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.