ALLEGIANCE TO SELF RECOVERY – NPI #1144044728
Substance Abuse Rehabilitation Facility

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.

ALLEGIANCE TO SELF RECOVERY is a substance abuse rehabilitation facility located in LOUISVILLE, KY. NPPES has assigned the NPI number 1144044728 to ALLEGIANCE TO SELF RECOVERY on November 11, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility. Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Dec 10, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLEGIANCE TO SELF RECOVERY below.

NPI Profile for
ALLEGIANCE TO SELF RECOVERY

NPI Number
1144044728
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALLEGIANCE TO SELF RECOVERY
Primary location
3711 W BROADWAY
LOUISVILLE, KY 40211-2847
Phone: (502) 322-2065 Fax:
Mailing address
9508 YELLOW PINE CT
LOUISVILLE, KY 40229-1642
Phone: (502) 322-2065 Fax:
Organization Subpart
No
Authorized Official
ANTWONE SHAW
CEO
Phone: (502) 322-2065
Updated
Certification Date
Dec 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.