Organization Active NPI

Resilient Therapy Services, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • La Grange, KY
National Provider Identifier
1891442141
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
RESILIENT THERAPY SERVICES, LLC
Practice address
1512 W Highway 42
La Grange, KY 40031-9554
Phone
(512) 826-1243
NPI assigned
Mar 7, 2022
Last updated
Mar 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Eric Makowski
Title
Member
Phone
(512) 826-1243

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1512 W Highway 42
La Grange, KY 40031-9554

Mailing address

11500 Valley View Rd
Louisville, KY 40223-1353
Phone (512) 826-1243

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1891442141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 VALLEY VIEW RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402231353",
            "telephone_number": "512-826-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 W HIGHWAY 42",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319554",
            "telephone_number": "512-826-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "MAKOWSKI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "512-826-1243"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.