Healthcare Provider Details
I. General information
NPI: 1083132708
Provider Name (Legal Business Name): ABBEY HILL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2017
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4801 OLYMPIA PARK PLZ STE 1200
LOUISVILLE KY
40241-2090
US
IV. Provider business mailing address
4801 OLYMPIA PARK PLZ STE 1200
LOUISVILLE KY
40241-2090
US
V. Phone/Fax
- Phone: 502-254-7300
- Fax:
- Phone: 502-254-7300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARTIN
MCKINNEY
Title or Position: MANAGING PARTNER
Credential:
Phone: 502-690-3776