NPIMap

Organization Active NPI

Isaiah House Inc

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Louisville, KY
National Provider Identifier
1801669759
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
ISAIAH HOUSE INC
Practice address
1191 Hillview Blvd Ste 2
Louisville, KY 40229-4065
Phone
(859) 375-9200
NPI assigned
Nov 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Lucille Koehl
Title
Officer
Phone
(317) 893-0296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

1191 Hillview Blvd Ste 2
Louisville, KY 40229-4065

Mailing address

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

Other names 1

  • Real Hope Behavioral Health - Hillview 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
18D2292631Real Hope Behavioral Health - Hillview1191 Hillview Blvd, Ste 2, Louisville, KY 40229Certificate of waiverOct 26, 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

Locations

1191 Hillview Blvd
Ste 2
Louisville, KY 40229

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1801669759",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 HILLVIEW BLVD STE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402294065",
            "telephone_number": "859-375-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAIAH HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "KOEHL",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "317-893-0296"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Hope Behavioral Health - Hillview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2023; 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.