FRESH ROUTES INCORPORATED (NPI# 1669967287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669967287 |
| Entity Type | Organization |
| Organization Name | FRESH ROUTES INCORPORATED |
| Practice Address |
3146 W Broadway Louisville KY 40211-1441 |
| Mailing Address |
743 E Broadway Ste 291 Louisville KY 40202-1711 |
| Practice Telephone | 5027760262 |
| Mailing Telephone | 5026087640 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Authorized Official Name | MR. PHILLIP ANTONIO THOMPSON (CEO) |
| Authorized Official Telephone | 5023242199 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
3146 W BROADWAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40211-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124513734 | Phillip Antonio Thompson | Marriage & Family Therapist | 3146 W Broadway, Louisville, KY 40211-1441 | 2018-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792940 | Kare LLC | Dentist | 2500 W Broadway Ste 500, Louisville, KY 40211 | 2018-06-05 |
| 1265943716 | Practicare Home Care Services, LLC | Nurse Practitioner | 1667 Russell Lee Dr, Louisville, KY 40211 | 2017-10-23 |
| 1518478221 | Latoya Samantha Hall | Counselor | 646 South 36th Street, Louisville, KY 40211 | 2017-10-20 |
| 1003071200 | Mark Cassol Md Psc | Ophthalmology | 2600 W. Broadway, Suite 105, Louisville, KY 40211 | 2008-07-28 |
| 1194919548 | Hardin Housing Corp | Assisted Living Facility | 2035 S 41st St, Louisville, KY 40211 | 2007-08-29 |
| 1184770562 | Eta Day Care Center LLC | Case Management | 724 So 44th Street, Louisville, KY 40211 | 2007-01-26 |
| 1871571356 | Alice C Gunnison | Physician Assistant | 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 | 2006-01-05 |
| 1730733783 | Mark A Bush | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211 | 2019-07-29 |
| 1407419237 | Gina M Beckford | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211 | 2019-04-17 |
| 1730694266 | Orchid House, Inc. | Early Intervention Provider Agency | 703 S 31st St, Louisville, KY 40211 | 2017-12-06 |
| Find all providers in zip 40211 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730532 | Reflection In Practice Counseling and Consultation | Clinic/Center | 1355 Bardstown Rd, Louisville, KY 40204-1353 | 2020-11-03 |
| 1568069326 | Evolve Lou Counseling | Clinic/Center | 1309 Cecil Ave, Louisville, KY 40211-2418 | 2020-10-05 |
| 1356987929 | Faraday Kentucky, LLC | Clinic/Center | 10000 Shelbyville Rd Ste 101, Louisville, KY 40223-2973 | 2019-11-19 |
| 1275010449 | Inspire&empower LLC | Clinic/Center | 1169 Eastern Pkwy Ste 2339, Louisville, KY 40217-1415 | 2018-07-20 |
| 1295233948 | Thrive Therapy LLC | Clinic/Center | 13000 Equity Pl Ste 106, Louisville, KY 40223-3976 | 2018-01-29 |
| 1952621005 | Lifeworks of Kentucky | Clinic/Center | 1531 Ormsby Station Ct, Louisville, KY 40223-4019 | 2010-06-10 |
| 1528670320 | Allison King, Lpcc, LLC | Clinic/Center | 1949 Goldsmith Ln Ste 103, Louisville, KY 40218-3096 | 2020-08-21 |
| 1285272088 | Heartwood Therapy Place LLC | Clinic/Center | 1941 Bishop Ln Ste 1019, Louisville, KY 40218-1928 | 2019-12-12 |
| 1902309214 | Chandler Behavioral Health Resources | Clinic/Center | 9400 Williamsburg Plz, Louisville, KY 40222-5093 | 2018-03-13 |
| 1992218051 | David Kalis, Inc | Clinic/Center | 357 Mccaslin Blvd, Louisville, CO 80027-2941 | 2017-11-13 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40211 |
Please comment or provide details below to improve the information on FRESH ROUTES INCORPORATED.
| 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.