Healthcare Provider Details

I. General information

NPI: 1013858513
Provider Name (Legal Business Name): NEULIFE REHABILITATION OF KENTUCKY II, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 CHAMBERLIN AVE
FRANKFORT KY
40601-4220
US

IV. Provider business mailing address

189 ADAM SHEPHERD PKWY STE 17
SHEPHERDSVILLE KY
40165-6579
US

V. Phone/Fax

Practice location:
  • Phone: 502-558-8312
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: PATRICK KELLEY
Title or Position: CEO
Credential:
Phone: 502-558-8312