Organization Active NPI

Sheryl'S House LLC

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1649866344
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHERYL'S HOUSE LLC
Practice address
4136 Wheeler Ave
Louisville, KY 40215-1221
Phone
(502) 619-9622
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Authorized official

Name
Jacqueline Sanders
Title
Credentialing Administrator
Phone
(502) 630-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4136 Wheeler Ave
Louisville, KY 40215-1221

Mailing address

3931 Cane Run Rd
Louisville, KY 40211-2013
Phone (502) 619-9622

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aasmedicalcoding@outlook.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1649866344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 CANE RUN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402112013",
            "telephone_number": "502-619-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 WHEELER AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151221",
            "telephone_number": "502-619-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL'S HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "502-630-2036"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aasmedicalcoding@outlook.com",
            "affiliation": "N",
            "address_1": "4136 Wheeler Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402151221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.