Shively First Health Care, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SHIVELY FIRST HEALTH CARE, LLC

Practice address

924 E Broadway
Louisville, KY 40204-1057

Phone

(502) 200-1335

Fax

(502) 200-8904

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Devin Pantess

Title

Chief Operations Officer

Phone

(502) 259-8811

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Lee Pantess, NP

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1043996911

  Community/Behavioral Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1811775679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041057",
            "telephone_number": "502-200-1335",
            "fax_number": "502-200-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041057",
            "telephone_number": "502-200-1335",
            "fax_number": "502-200-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVELY FIRST HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "PANTESS",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "502-259-8811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100912570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Alexandria Shirley, DMD
• Andrew Shirota
• Deepika Shiroy
• Kelsi Shivel
• Shively Chiropractic, LLC
• Steven Richard Shlonsky, DPM
• Sean M Shockey, MD
• Samantha Shockley, BCBA, LBA
• Sierra Shockley
• Ahmed Shoeib, RPH

• Substance Use Disorder Rehabilitation Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.