Organization Active NPI

Renaissance Shelbyville Partners 1, LLC

  • Assisted Living Facility
  • Shelbyville, KY
National Provider Identifier
1942814868
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RENAISSANCE SHELBYVILLE PARTNERS 1, LLC
Practice address
156 Haven Hill Rd
Shelbyville, KY 40065-8752
Phone
(502) 647-4546
Fax
(502) 647-4554
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Kathy Bellande
Title
Owner/Management Agent
Phone
(502) 228-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

156 Haven Hill Rd
Shelbyville, KY 40065-8752

Mailing address

12933 W Highway 42
Prospect, KY 40059-9107
Phone (502) 228-8131

Other names 1

  • Amber Oaks Assisted Living Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ed@amberoaksalc.com Direct

National Provider Directory

National Provider Directory

Locations

12933 W Highway 42
Prospect, KY 40059

156 Haven Hill Rd
Shelbyville, KY 40065
Phone (502) 647-4546

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1942814868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12933 W HIGHWAY 42",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599107",
            "telephone_number": "502-228-8131",
            "fax_number": "502-228-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 HAVEN HILL RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658752",
            "telephone_number": "502-647-4546",
            "fax_number": "502-647-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SHELBYVILLE PARTNERS 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "BELLANDE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER/MANAGEMENT AGENT",
        "authorized_official_telephone_number": "502-228-8131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ed@amberoaksalc.com",
            "affiliation": "N",
            "endpointDescription": "gmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "156 Haven Hill Rd",
            "city": "Shelbyville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400658752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amber Oaks Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.