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BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN NPI 1851435705


NPI Information

NPI: 1851435705
Provider Name: BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
11103 PARK RD
LOUISVILLE, KY
ZIP 40223
Phone: (502) 245-4171
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BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN is a residential treatment facility emotionally disturbed children in Louisville, KY. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN NPI is 1851435705. The provider is registered as an organization entity type.

The provider's business location address is:

11103 PARK RD
LOUISVILLE, KY
ZIP 40223-424
Phone: (502) 245-4171
Fax: (502) 245-7447

The provider's authorized official is Jerry L Cantrell .
The authorized official title is Executive Director and has the following contact phone number (502) 245-4171.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
129900016MEDICAIDKENTUCKY
265936098MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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