Provider Demographics
NPI:1235777533
Name:RESTORE HEALTH KY INC
Entity Type:Organization
Organization Name:RESTORE HEALTH KY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:ROBOSA
Authorized Official - Last Name:IMPERIAL-STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-459-0796
Mailing Address - Street 1:252 E HIGH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40507-1422
Mailing Address - Country:US
Mailing Address - Phone:859-489-9317
Mailing Address - Fax:
Practice Address - Street 1:252 E HIGH ST STE 1
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1422
Practice Address - Country:US
Practice Address - Phone:561-322-8105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty