Organization Active NPI

Beutifull Remedi, LLC

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1841882271
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Feb 8, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100486430MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aasmedialcoding@outlook.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.