Organization Active NPI

Neulife Rehabilitation of Kentucky Inc

  • Physical Disabilities Residential Treatment Facility
  • Bowling Green, KY
National Provider Identifier
1871317180
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
NEULIFE REHABILITATION OF KENTUCKY INC
Practice address
1125 31W Bypass
Bowling Green, KY 42101
Phone
(844) 936-5433
NPI assigned
Nov 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Mr. Patrick Glenn Kelley
Title
Ceo
Phone
(844) 936-5433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

1125 31W Bypass
Bowling Green, KY 42101

Mailing address

189 Adam Shepherd Parkway, Suite 17
PMB #280
Shepherdsville, KY 40165
Phone (844) 936-5433

Other names 1

  • NA Other name

National Provider Directory

National Provider Directory
Tax ID family
Neulife Rehabilitation of Kentucky Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1871317180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ADAM SHEPHERD PARKWAY, SUITE 17",
            "address_2": "PMB #280",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "40165",
            "telephone_number": "844-936-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 31W BYPASS",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "844-936-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEULIFE REHABILITATION OF KENTUCKY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-936-5433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.