ALLEGIANCE TO SELF
NPI 1679389332
Substance Abuse Rehabilitation Facility in Louisville, KY

Q: What is Allegiance To Self's NPI number?

The NPI number for Allegiance To Self is 1679389332. It was assigned to this organization in the NPPES registry on December 9, 2024.

Q: What is Allegiance To Self's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since December 09, 2024

3711 W BROADWAY, LOUISVILLE, KY 40211(502) 322-2065 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Allegiance To Self NPPES

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

ALLEGIANCE TO SELF (NPI 1679389332) is a healthcare organization registered as a substance abuse rehabilitation facility in Louisville, Kentucky and active in the NPI registry since December 2024. The organization lists Antwone Shaw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679389332

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameALLEGIANCE TO SELF

Location Address3711 W BROADWAYLouisville, KY 40211-2847

Mailing Address9508 Yellow Pine CtLouisville, KY 40229-1642 · (502) 322-2065

Phone(502) 322-2065

Organization SubpartNo

Authorized OfficialAntwone ShawCeo · (502) 322-2065

Enumeration DateDecember 9, 2024

Last NPPES UpdateDecember 10, 2024

NPPES CertifiedDecember 10, 2024

✔ NPI 1679389332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase ManagementTaxonomy 251B00000X

3711 W BROADWAY, Louisville, KY 40211

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLEGIANCE TO SELF RECOVERY

Substance Abuse Rehabilitation Facility

3711 W BROADWAY
LOUISVILLE, KY 40211

Jefferson County (502) 322-2065

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 Allegiance To Self's NPI number?

The NPI number for Allegiance To Self is 1679389332. It was assigned to this organization in the NPPES registry on December 9, 2024.

Where is Allegiance To Self located?

Allegiance To Self is located at 3711 W Broadway, Louisville, KY 40211. The listed phone number is (502) 322-2065.

What is Allegiance To Self's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Allegiance To Self was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.