Healthcare Provider Details

I. General information

NPI: 1922763861
Provider Name (Legal Business Name): RECOVERY NOW HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2021
Last Update Date: 09/02/2025
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3934 DIXIE HWY STE 210
LOUISVILLE KY
40216-4176
US

IV. Provider business mailing address

2312 S PRESTON ST UNIT 17567
LOUISVILLE KY
40217-5022
US

V. Phone/Fax

Practice location:
  • Phone: 502-794-3082
  • Fax:
Mailing address:
  • Phone: 502-794-3082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CLAUDE EDWARD JOHNSON II
Title or Position: EXECUTIVE DIRECTOR
Credential: M.ED, LCADC, LPCA
Phone: 502-794-3082