MEDICARE: CULTIVATING HEARTS YOUTH HOME

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1568313138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CULTIVATING HEARTS YOUTH HOME

Provider Business Mailing Address
First Line	:	3703 TAYLORSVILLE RD STE 104
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1330
Country	:	US
Telephone Number	:	502-640-8725
Fax Number	:

Provider Business Practice Location Address
First Line	:	3703 TAYLORSVILLE RD STE 104
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-1330
Country	:	US
Telephone Number	:	502-640-8725
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. LATANYA D RUFFIN
Credential	:
Telephone Number	:	502-640-8725

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “CULTIVATING HEARTS YOUTH HOME ” Practice Location

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