Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHIVELY FIRST HEALTH CARE, LLC
NPI 1811775679
Clinic/Center - Rehabilitation, Substance Use Disorder in Louisville, KY

Q: What is Shively First Health Care, LLC's NPI number?

The NPI number for Shively First Health Care, LLC is 1811775679. It was assigned to this organization in the NPPES registry on September 21, 2023.

Q: What is Shively First Health Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

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 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Jul 17, 2026, Jan 30, 2026 and 4 more (7 updates tracked since 2023).

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About Shively First Health Care, Llc NPPES

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

SHIVELY FIRST HEALTH CARE, LLC (NPI 1811775679) is a healthcare organization registered as a rehabilitation, substance use disorder in Louisville, Kentucky and active in the NPI registry since September 2023. The organization lists Devin Pantess, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1811775679

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameSHIVELY FIRST HEALTH CARE, LLC

Location Address924 E BROADWAYLouisville, KY 40204-1057

Mailing Address924 E BroadwayLouisville, KY 40204-1057 · (502) 200-1335 · Fax (502) 200-8904

Phone(502) 200-1335

Fax(502) 200-8904

Organization SubpartNo

Authorized OfficialDevin PantessChief Operations Officer · (502) 259-8811

Enumeration DateSeptember 21, 2023

Last NPPES UpdateJuly 27, 20267 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1811775679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

924 E BROADWAY, Louisville, KY 40204

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Other Identifiers 1

Medicaid7100912570KY

Other Providers at the Same Location NPPES

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

MRS. MARY LEE PANTESS NP

Nurse Practitioner (Family)

924 E BROADWAY
LOUISVILLE, KY 40204

Jefferson County (502) 200-1335

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 Shively First Health Care, LLC's NPI number?

The NPI number for Shively First Health Care, LLC is 1811775679. It was assigned to this organization in the NPPES registry on September 21, 2023.

Where is Shively First Health Care, LLC located?

Shively First Health Care, LLC is located at 924 E Broadway, Louisville, KY 40204. The listed phone number is (502) 200-1335.

What is Shively First Health Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Shively First Health Care, LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.