NPIMap

Organization Active NPI

Augustine Hall Transitional Living Center

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
National Provider Identifier
1942651310
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
810479 Issued in KY
Legal business name
AUGUSTINE HALL TRANSITIONAL LIVING CENTER
Practice address
1455 S Preston St
Suite 905
Louisville, KY 40208-2717
Phone
(502) 587-9737
NPI assigned
Jun 28, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
GREATER LOUISVILLE COUNSELING CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Keith McKenzieNPI 1003215740
Title
Executive Director
Phone
(502) 587-9737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 810479 KY Primary

Addresses

Primary practice location

1455 S Preston St
Suite 905
Louisville, KY 40208-2717

Mailing address

1455 S Preston St
Suite 905
Louisville, KY 40208-2717
Phone (502) 587-9737

Other identifiers 1

IdentifierTypeStateIssuer
7100323580MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Augustine Hall Transitional Living Center4 organizations share this tax ID, including this one
Part of
Augustine Hall Transitional Living Center

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1942651310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S PRESTON ST",
            "address_2": "SUITE 905",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082717",
            "telephone_number": "502-587-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S PRESTON ST",
            "address_2": "SUITE 905",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082717",
            "telephone_number": "502-587-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTINE HALL TRANSITIONAL LIVING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER LOUISVILLE COUNSELING CENTER",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-587-9737"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "KY",
            "license": "810479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100323580",
            "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 Jun 28, 2016; 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.