RANDOM HOUSE COMMUNITY LIVING INC (NPI# 1780854034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780854034 |
| Entity Type | Organization |
| Organization Name | RANDOM HOUSE COMMUNITY LIVING INC |
| Practice Address |
5505 Random Way Louisville KY 40291-1821 |
| Mailing Address |
373 Whitfield Ln Taylorsville KY 40071-6300 |
| Practice Telephone | 5022397799 |
| Mailing Telephone | 5022397799 |
| Mailing Fax Number | 5022392809 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | TIMOTHY ALLEN BOMAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5022397799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
5505 RANDOM WAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40291-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881117166 | The Degondaba School, Inc. | Day Training, Developmentally Disabled Services | 5110 Stony Brook Drive, Louisville, KY 40291 | 2017-07-19 |
| 1497108278 | Andrea Herndon | Physician Assistant | 10710 Marceitta Ct, Louisville, KY 40291 | 2016-07-18 |
| 1033536602 | Jennifer Rose Fowler | Social Worker | 10300 Brookridge Villeage Blvd., Suite 104, Louisville, KY 40291 | 2014-03-21 |
| 1740602069 | Brittney Tatum | Licensed Practical Nurse | 9500 Glen Trace Ln, Louisville, KY 40291 | 2014-01-07 |
| 1326392895 | Lisa J Fetter | Nurse Practitioner | 6413 Bardstown Rd, Louisville, KY 40291 | 2012-11-05 |
| 1275829137 | Carolyn Estep Book | Counselor | 9612 Farmstead Lane, Louisville, KY 40291 | 2011-06-20 |
| 1023309028 | Julie Klein Hawkins | Pharmacist | 8014 Bardstown Rd., Louisville, KY 40291 | 2011-04-25 |
| 1295872653 | Loving Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9508 Fairmount Rd, Louisville, KY 40291 | 2007-02-01 |
| 1962548198 | Morgan Howard | Chiropractor | 5501 Bardstown Rd, Louisville, KY 40291 | 2007-01-29 |
| 1407992258 | Deanna H Smith | Social Worker | 9409 Cedar Look Drive, Louisville, KY 40291 | 2007-01-29 |
| Find all providers in zip 40291 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705280 | Tms Therapy Partners | Clinic/Center | 100 Mallard Creek Rd Ste 210, Louisville, KY 40207-5154 | 2019-11-18 |
| 1952883621 | New Hope Counseling | Clinic/Center | 1313 Lyndon Ln Ste 208, Louisville, KY 40222-7302 | 2018-08-30 |
| 1902371859 | Avenues Unlimited Counseling Center | Clinic/Center | 3701 Taylorsville Rd Ste 2, Louisville, KY 40220-1351 | 2018-10-08 |
| 1659884872 | New Leaf Clinic | Clinic/Center | 2910 W Jefferson St, Louisville, KY 40212 | 2017-11-09 |
| 1265893598 | Dennis Buchholz Phd and Associates | Clinic/Center | 1161 E Broadway, Louisville, KY 40204-1711 | 2016-03-15 |
| 1609250992 | Brock Family Therapy Center Inc. | Clinic/Center | 10300 Brookridge Village Blvd, Suite 104, Louisville, KY 40291 | 2015-07-16 |
| 1578812707 | Donna A Head | Clinic/Center | 9880 Angies Way Ste 420, Louisville, KY 40241 | 2012-09-04 |
| 1386848836 | John E. Gallehr, Md P.s.c. | Clinic/Center | 8013 New Lagrange Rd, Suite # 1, Louisville, KY 40222-4700 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126128 | T.m.j.j.w., LLC | Clinic/Center | 3192 Dixie Hwy, Erlanger, KY 41018-1850 | 2020-02-14 |
| 1679042279 | Safe Harbor Mental Health | Clinic/Center | 33 Jacks Ln, Somerset, KY 42501-6152 | 2018-11-13 |
| 1689077836 | Heidi Solarz-kutz, Lcsw, Cadc | Clinic/Center | 7204 Highway 329, Crestwood, KY 40014-8822 | 2014-10-02 |
| 1275975955 | Kara Stebbins, Md, Pllc | Clinic/Center | 832 Tremont Ave, Lexington, KY 40502-2234 | 2013-07-23 |
| 1962787572 | Sharad Patel LLC | Clinic/Center | 1230 Woodland Dr Ste 210, Elizabethtown, KY 42701-2792 | 2011-10-14 |
| 1073776514 | Whispering Winds Community Living, Inc. | Clinic/Center | 1600 Bridgeport Rd, Frankfort, KY 40601-8359 | 2008-07-04 |
| 1689852170 | Combs Residential Service, Inc. | Clinic/Center | 11455 North Highway 27, Eubank, KY 42567 | 2008-02-06 |
| 1952595381 | Dayspring Counseling Center | Clinic/Center | 2673 Campbellsville Rd, Greensburg, KY 42743-9703 | 2007-08-29 |
| 1457461659 | Jose Luis Garrido | Clinic/Center | 3400 New Hartford Rd, Suite A, Owensboro, KY 42303-1705 | 2006-08-30 |
| 1407879349 | Wendell Foster's Campus for Developmental Disabilities | Clinic/Center | 815 Triplett St, Owensboro, KY 42303-3564 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40291 |
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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.