PASSAGEWAYS MEDICAL THERAPY, INC. (NPI# 1467825604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467825604 |
| Entity Type | Organization |
| Organization Name | PASSAGEWAYS MEDICAL THERAPY, INC. |
| Practice Address |
4006 Dutchmans Ln Louisville KY 40207-4704 |
| Practice Telephone | 5028377517 |
| Mailing Telephone | 5028377517 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | BRUCE D. ATHERTON (SECRETARY/ DIRECTOR OF LEGAL AFFAIR) |
| Authorized Official Telephone | 5024244452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
4006 DUTCHMANS LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547711 | Irwin Randell Cohen | Internal Medicine | 4006 Dutchmans Ln, Suite 100, Louisville, KY 40207-4704 | 2005-06-13 |
| 1871952978 | Bruce Dwain Atherton | Behavioral Analyst | 4006 Dutchmans Ln, Louisville, KY 40207-4704 | 2016-02-17 |
| 1245590504 | Nc LLC | Counselor | 4006 Dutchmans Ln, Louisville, KY 40207-4704 | 2012-05-21 |
| 1538439740 | Ncf LLC | Counselor | 4006 Dutchmans Ln, Suite 100, Louisville, KY 40207-4704 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700385325 | Journeypure Louisville, LLC | Substance Abuse Rehabilitation Facility | 3430 Newburg Rd Ste 208, Louisville, KY 40218-2458 | 2018-02-09 |
| 1194274613 | Recovery On Chestnut | Substance Abuse Rehabilitation Facility | 2100 W Chestnut St, Louisville, KY 40211-1078 | 2016-09-26 |
| 1942651310 | Augustine Hall Transitional Living Center | Substance Abuse Rehabilitation Facility | 1455 S Preston St, Suite 905, Louisville, KY 40208-2717 | 2016-06-28 |
| 1477914166 | Landmark Recovery of Louisville LLC | Substance Abuse Rehabilitation Facility | 4418 Malcolm Ave, Louisville, KY 40215-1122 | 2016-03-09 |
| 1609271832 | Interlink Counseling Services, Inc. | Substance Abuse Rehabilitation Facility | 8311 Preston Hwy, Louisville, KY 40219-5309 | 2014-10-30 |
| 1740524362 | Recovery Help, LLC. | Substance Abuse Rehabilitation Facility | 209 Townepark Cir, Suite 100, Louisville, KY 40243-2323 | 2012-11-20 |
| 1558479758 | Cornerstone of Recovery | Substance Abuse Rehabilitation Facility | 1214 Topside Rd, Louisville, TN 37777-5505 | 2006-08-28 |
| 1477027555 | Ladies of Promises Inc. | Substance Abuse Rehabilitation Facility | 2133 W Market St, Louisville, KY 40212-1532 | 2019-01-11 |
| 1104303478 | Praxis Recovery LLC | Substance Abuse Rehabilitation Facility | 4418 Malcolm Ave, Louisville, KY 40215-1122 | 2018-07-19 |
| 1952851859 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 9702 Stonestreet Rd, Suite 120, Louisville, KY 40272 | 2016-10-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.