NPIMap

Organization Active NPI

Maryhurst, Inc.

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1851713614
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARYHURST, INC.
Practice address
1015 Dorsey LN
Louisville, KY 40223-2612
Phone
(502) 245-1576
NPI assigned
Jan 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Ms. Paula Garner
Title
President/Ceo
Phone
(502) 245-1576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1015 Dorsey LN
Louisville, KY 40223-2612

Mailing address

1015 Dorsey LN
Louisville, KY 40223-2612
Phone (502) 245-1576

Other practice location 1

1800 Neville Dr
Louisville, KY 40216-3820
Phone (502) 438-9639

Other practice location 2

3201 Portland Ave
Louisville, KY 40212-1141
Phone (502) 438-9639

Other identifiers 1

IdentifierTypeStateIssuer
7100326320MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250605003269 KY Part B Supplier - Clinic/Group Practice 4284144619 Practice locations: Louisville, KY

National Provider Directory

National Provider Directory
Tax ID family
Maryhurst Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1851713614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 DORSEY LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232612",
            "telephone_number": "502-245-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 DORSEY LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232612",
            "telephone_number": "502-245-1576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Neville Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402163820",
            "country_code": "US",
            "telephone_number": "502-438-9639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402121141",
            "country_code": "US",
            "telephone_number": "502-438-9639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYHURST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "502-245-1576",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100326320",
            "state": "KY"
        }
    ],
    "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 Dec 2, 2022; 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.