Organization Active NPI

Connectmed360

  • Case Management Agency
  • Louisville, KY
National Provider Identifier
1811626542
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CONNECTMED360
Practice address
13410 Eastpoint Centre Dr Ste 150
Louisville, KY 40223-4160
Phone
(833) 360-2633
Fax
(833) 360-3329
NPI assigned
Jun 8, 2022
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Randolph E Falkenrath
Title
President
Phone
(833) 360-2633

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Pharmacy 333600000X NU

Addresses

Primary practice location

13410 Eastpoint Centre Dr Ste 150
Louisville, KY 40223-4160

Mailing address

13410 Eastpoint Centre Dr Ste 150
Louisville, KY 40223-4160
Phone (833) 360-2633

National Provider Directory

National Provider Directory

Locations

13410 Eastpoint Centre Dr
Ste 150
Louisville, KY 40223
Phone (833) 360-2633

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1811626542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13410 EASTPOINT CENTRE DR STE 150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234160",
            "telephone_number": "833-360-2633",
            "fax_number": "833-360-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 EASTPOINT CENTRE DR STE 150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234160",
            "telephone_number": "833-360-2633",
            "fax_number": "833-360-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTMED360",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "FALKENRATH",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "833-360-2633"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 8, 2022; 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.