PRODIGAL SON LIFE BUILDERS
NPI 1740145044
Community/Behavioral Health in Louisville, KY

Active since December 18, 2025
1154 S 15TH ST, LOUISVILLE, KY 40210(804) 605-5318 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Dec 18, 2025 (2 updates tracked since 2025).

About Prodigal Son Life Builders NPPES

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

PRODIGAL SON LIFE BUILDERS (NPI 1740145044) is a healthcare organization registered as a community/behavioral health in Louisville, Kentucky and active in the NPI registry since December 2025. The organization lists Janae Dickerson, Manager, as its authorized official.

NPPES Registry Identity

NPI1740145044
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRODIGAL SON LIFE BUILDERS
Location Address1154 S 15TH STLouisville, KY 40210-1567
Mailing Address1154 S 15th StLouisville, KY 40210-1567 · (804) 605-5318
Organization SubpartNo
Authorized OfficialJanae DickersonManager · (804) 605-5318
Enumeration DateDecember 18, 2025
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1740145044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedCase ManagementTaxonomy 251B00000X
1154 S 15TH ST, Louisville, KY 40210

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Peer Specialist
1154 S 15TH ST
LOUISVILLE, KY 40210
Counselor (Professional)
1154 S 15TH ST
LOUISVILLE, KY 40210

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 Prodigal Son Life Builders's NPI number?

The NPI number for Prodigal Son Life Builders is 1740145044. It was assigned to this organization in the NPPES registry on December 18, 2025.

Where is Prodigal Son Life Builders located?

Prodigal Son Life Builders is located at 1154 S 15th St, Louisville, KY 40210. The listed phone number is (804) 605-5318.

What is Prodigal Son Life Builders's specialty?

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

When was this NPI record last updated?

The NPPES record for Prodigal Son Life Builders was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.