MEDICARE: A RESTORING HOPE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist
4	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
5	225X00000X	Occupational Therapist
6	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
7	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1437845484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A RESTORING HOPE, LLC

Provider Business Mailing Address
First Line	:	11153 CASTLEBROOK DR
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-8332
Country	:	US
Telephone Number	:	502-224-3120
Fax Number	:

Provider Business Practice Location Address
First Line	:	11153 CASTLEBROOK DR
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-8332
Country	:	US
Telephone Number	:	502-224-3120
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	AWA JOBE JALLOW
Credential	:
Telephone Number	:	502-224-3120

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	06/10/2026

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