Augustine Hall Transitional Living Center

LBN: Augustine Hall Transitional Living Center
Augustine Hall Transitional Living Center is an health care organization with primary practice located at 1455 S Preston St Suite 905, Louisville KY 40208-2717. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Augustine Hall Transitional Living Center can be contacted via phone (502) 587-9737, or through Mckenzie, Keith via phone (502) 587-9737.

Contact Information

Primary practice address
1455 S Preston St Suite 905 Louisville KY 40208-2717
Phone: (502) 587-9737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mckenzie, Keith
Phone: (502) 587-9737

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 810479 Kentucky

Profile Details

NPI number 1942651310
LBN Legal business name Augustine Hall Transitional Living Center
DBA Doing business as
Authorized official Mckenzie, Keith
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 28th, 2016
Last updated Jun 28th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942651310 NPPES
Kentucky MEDICAID 7100323580

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