Rekindled, Limited Liability Company

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

7717 Issued in KY

Legal business name

REKINDLED, LIMITED LIABILITY COMPANY

Practice address

365 Duke Road
Suite# 2561
Lexington, KY 40522

Phone

(859) 359-2004

NPI assigned

Dec 18, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly Haskins

Title

Owner/Program Manager

Phone

(502) 682-7150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1699219162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 DUKE ROAD",
            "address_2": "SUITE# 2561",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40522",
            "telephone_number": "859-359-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 DUKE ROAD",
            "address_2": "SUITE# 2561",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40522",
            "telephone_number": "859-359-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKINDLED, LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/PROGRAM MANAGER",
        "authorized_official_telephone_number": "502-682-7150"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "7717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.