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RANDOM HOUSE COMMUNITY LIVING INC NPI 1780854034


NPI Information

NPI: 1780854034
Provider Name: RANDOM HOUSE COMMUNITY LIVING INC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5505 RANDOM WAY
LOUISVILLE, KY
ZIP 40291
Phone: (502) 239-7799
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RANDOM HOUSE COMMUNITY LIVING INC is an adult mental health clinic center in Louisville, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RANDOM HOUSE COMMUNITY LIVING INC NPI is 1780854034. The provider is registered as an organization entity type.

The provider's business location address is:

5505 RANDOM WAY
LOUISVILLE, KY
ZIP 40291-821
Phone: (502) 239-7799

The provider's authorized official is Timothy Allen Bomar .
The authorized official title is Executive Director and has the following contact phone number (502) 239-7799.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 3/3/2008.


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
1261QM0850XClinic/CenterAdult Mental HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.