1841566387 NPI number — FATHER MALONEY'S BOYS' HAVEN, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841566387 NPI number — FATHER MALONEY'S BOYS' HAVEN, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FATHER MALONEY'S BOYS' HAVEN, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841566387
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2301 GOLDSMITH LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40218-1018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-458-1171
Provider Business Mailing Address Fax Number:
502-451-2161

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2301 GOLDSMITH LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40218-1018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-458-1171
Provider Business Practice Location Address Fax Number:
502-451-2161
Provider Enumeration Date:
03/29/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SWETNAM
Authorized Official First Name:
JOSH
Authorized Official Middle Name:
ERIC
Authorized Official Title or Position:
PROGRAM DIRECTOR
Authorized Official Telephone Number:
502-458-1171

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253J00000X , with the licence number: 500449 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 322D00000X , with the licence number: 500006 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7100272600 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 29100229 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 29200227 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".