Organization Active NPI

Louisville Metro Recovery

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1780496224
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LOUISVILLE METRO RECOVERY
Practice address
335 S Shawnee Ter
Louisville, KY 40212-2552
Phone
(502) 963-8063
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Mr. Demoine Lee
Title
Owner
Phone
(502) 963-8063

Specialties & licenses 1

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

Addresses

Primary practice location

335 S Shawnee Ter
Louisville, KY 40212-2552

Mailing address

335 S Shawnee Ter
Louisville, KY 40212-2552
Phone (502) 963-8063

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1780496224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 S SHAWNEE TER",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402122552",
            "telephone_number": "502-963-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S SHAWNEE TER",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402122552",
            "telephone_number": "502-963-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE METRO RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DEMOINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-963-8063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 22, 2025; 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.