Active NPI
Guardian Community Living Louisville, LLC
- Developmentally Disabled Services Day Training Agency
- Louisville, KY
National Provider Identifier
1881980670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- GUARDIAN COMMUNITY LIVING LOUISVILLE, LLC
- Practice address
- 5001 Crown Manor PL
Suite 200
Louisville, KY 40218-3196 - Phone
- (502) 540-1482
- NPI assigned
- Jun 21, 2011
- 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
- Mr. Don Ireland
- Title
- Chief Operating Officer
- Phone
- (615) 377-9140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
5001 Crown Manor PL
Suite 200
Louisville, KY 40218-3196
Mailing address
105 Westpark Dr
Suite 100
Brentwood, TN 37027-5319
Phone (615) 377-9140
National Provider Directory
National Provider DirectoryLocations
5001 Crown Manor Pl
Ste 200
Louisville, KY 40218
Phone (502) 540-1482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308614400000",
"number": "1881980670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WESTPARK DR",
"address_2": "SUITE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275319",
"telephone_number": "615-377-9140",
"fax_number": "615-277-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 CROWN MANOR PL",
"address_2": "SUITE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183196",
"telephone_number": "502-540-1482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN COMMUNITY LIVING LOUISVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A",
"authorized_official_last_name": "IRELAND",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "615-377-9140",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.