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RESTORATION HOUSE LLC
NPI 1336836691
Community/Behavioral Health in Louisville, KY

Active since April 18, 2023
2600 W BROADWAY STE 209, LOUISVILLE, KY 40211(502) 907-7541 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Restoration House Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORATION HOUSE LLC (NPI 1336836691) is a healthcare organization registered as a community/behavioral health in Louisville, Kentucky and active in the NPI registry since April 2023. The organization lists Jeremy Jones, Owner, as its authorized official.

NPPES Registry Identity

NPI1336836691
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRESTORATION HOUSE LLC
Location Address2600 W BROADWAY STE 209Louisville, KY 40211-1370
Mailing Address2600 W Broadway Ste 209Louisville, KY 40211-1370
Phone(502) 907-7541
Organization SubpartNo
Authorized OfficialJeremy JonesOwner · (502) 907-7541
Enumeration DateApril 18, 2023
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1336836691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2600 W BROADWAY STE 209, Louisville, KY 40211
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restoration House Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Restoration House LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Terry Anthony, APRN
Nurse Practitioner
NPI 1730855594
CLINIC #6205 10490 SHELBYVILLE ROAD
Louisville, KY 40223
(502) 245-8853
✔ PECOS

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Restoration House LLC's NPI number?

The NPI number for Restoration House LLC is 1336836691. It was assigned to this organization in the NPPES registry on April 18, 2023.

Where is Restoration House LLC located?

Restoration House LLC is located at 2600 W Broadway Ste 209, Louisville, KY 40211. The listed phone number is (502) 907-7541.

What is Restoration House LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Restoration House LLC enrolled in Medicare?

Yes. Restoration House LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restoration House LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Restoration House LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Restoration House LLC was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.