Random House Community Living Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RANDOM HOUSE COMMUNITY LIVING INC

Practice address

5505 Random Way
Louisville, KY 40291-1821

Phone

(502) 239-7799

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Timothy Allen Bomar

Title

Executive Director

Phone

(502) 239-7799

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1780854034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 WHITFIELD LN",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "400716300",
            "telephone_number": "502-239-7799",
            "fax_number": "502-239-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 RANDOM WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911821",
            "telephone_number": "502-239-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOM HOUSE COMMUNITY LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BOMAR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-239-7799"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Randolph, RPH.
• Dave Randolph
• Heather W. Randolph, PSY.D.
• Jeremy Randolph, P.T.
• Michelle D Randolph, MSPT
• Ashley Lynn Raney
• Rama S Ranga, R.PH., PH.D
• Chandhiran Rangaswamy, M.D.
• Kalpana Rangaswamy
• Smita Ranjan, APRN

• Adult Mental Health Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.