Active NPI
Beutifull Remedi, LLC
- Community/Behavioral Health Agency
- Louisville, KY
National Provider Identifier
1841882271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BEUTIFULL REMEDI, LLC
- Practice address
- 1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096 - Phone
- (502) 830-9038
- NPI assigned
- Feb 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Sanders
- Title
- Billing Manager
- Phone
- (502) 630-2036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096
Mailing address
1949 Goldsmith LN Ste 103
Louisville, KY 40218-3096
Phone (502) 830-9038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100486430 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aasmedialcoding@outlook.com |
National Provider Directory
National Provider DirectoryLocations
1949 Goldsmith Ln
Ste 103
Louisville, KY 40218
Phone (502) 221-7892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612742400000",
"number": "1841882271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 GOLDSMITH LN STE 103",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183096",
"telephone_number": "502-830-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 GOLDSMITH LN STE 103",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183096",
"telephone_number": "502-830-9038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEUTIFULL REMEDI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "502-630-2036"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100486430",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aasmedialcoding@outlook.com",
"affiliation": "N",
"address_1": "1949 Goldsmith Ln Ste 103",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402183096",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.