Provider Demographics
NPI:1710027453
Name:HARBOR HOUSE OF LOUISVILLE, INC.
Entity Type:Organization
Organization Name:HARBOR HOUSE OF LOUISVILLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRAINING AND COMPLIANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-719-0072
Mailing Address - Street 1:PO BOX 58219
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40268-0219
Mailing Address - Country:US
Mailing Address - Phone:502-719-0072
Mailing Address - Fax:502-719-0078
Practice Address - Street 1:2231 LOWER HUNTERS TRCE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-1358
Practice Address - Country:US
Practice Address - Phone:502-719-0072
Practice Address - Fax:502-719-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X, 225X00000X, 235Z00000X, 251E00000X, 251J00000X
KY900678251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing Care