AUGUSTINE HALL TRANSITIONAL LIVING CENTER NPI 1942651310

NPI Information

  • NPI: 1942651310
  • Provider Name: AUGUSTINE HALL TRANSITIONAL LIVING CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 1455 S PRESTON ST
    SUITE 905
    LOUISVILLE, KY
    ZIP 40208
  • Phone: (502) 587-9737

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NPI Details

AUGUSTINE HALL TRANSITIONAL LIVING CENTER is a substance abuse rehabilitation facility in Louisville, KY. The provider is 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. AUGUSTINE HALL TRANSITIONAL LIVING CENTER NPI is 1942651310. The provider is registered as an organization entity type.

The provider's business location address is:

1455 S PRESTON ST
SUITE 905
LOUISVILLE, KY
ZIP 40208-717
Phone: (502) 587-9737

The provider's authorized official is Keith Mckenzie .
The authorized official title is Executive Director and has the following contact phone number (502) 587-9737.

The enumeration date for this NPI number is 6/28/2016 and was last updated on 6/28/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility810479KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100323580MEDICAIDKENTUCKY

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: 11/21/2025

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