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SHIVELY FIRST HEALTH CARE, LLC
NPI 1811775679
Substance Abuse Rehabilitation Facility in Louisville, KY

Active since September 21, 2023
924 E BROADWAY, LOUISVILLE, KY 40204(502) 200-1335(502) 200-8904 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2026, Jan 30, 2026, Jan 17, 2026 and 3 more (6 updates tracked since 2023).

  • Organization
  • Substance Abuse Rehabilitation Facility

About SHIVELY FIRST HEALTH CARE, LLC

This page provides the complete NPI Profile along with additional information for Shively First Health Care, Llc, a provider established in Louisville, Kentucky operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1811775679 assigned on September 2023. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated July 2026. The authorized official of this NPI record is Mr. Devin Pantess (Chief Operations Officer)

NPI
1811775679 Verify this NPI
Provider Name
SHIVELY FIRST HEALTH CARE, LLC
Entity Type
Organization
Location Address
924 E BROADWAY LOUISVILLE, KY 40204
Location Phone
(502) 200-1335
Location Fax
(502) 200-8904
Mailing Address
924 E BROADWAY LOUISVILLE, KY 40204
Mailing Phone
(502) 200-1335
Mailing Fax
(502) 200-8904
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2023
Last Update Date
07-17-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DEVIN PANTESS

Authorized Official Title
CHIEF OPERATIONS OFFICER
Authorized Official Phone
(502) 259-8811

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811775679, enumerated as an "organization" on September 21, 2023.

The provider is located at 924 E BROADWAY LOUISVILLE, KY 40204 and the phone number is (502) 200-1335.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.