MEDICARE: JUSTUS COMMUNITY LIVING

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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1730028960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUSTUS COMMUNITY LIVING

Provider Business Mailing Address
First Line	:	3686 WALDEN CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-2063
Country	:	US
Telephone Number	:	859-230-4598
Fax Number	:

Provider Business Practice Location Address
First Line	:	3686 WALDEN CT
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-2063
Country	:	US
Telephone Number	:	859-230-4598
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHELE LYNN JACKSON
Credential	:
Telephone Number	:	859-230-4598

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

Similar Medicare Providers

1255279022 — JUSTUS HOME CARE
Practice Location Address:

3686 WALDEN CT
LEXINGTON, KY
40517-2063

Practice Phone: 859-230-4598
Practice Fax:

1871291450 — THE WALKER HOUSE INC
Practice Location Address:

642 W MAIN ST
LEXINGTON, KY
40508-2063

Practice Phone: 859-310-3567
Practice Fax:

1265370175 — GROWTH MINDSET SOLUTIONS, LLC
Practice Location Address:

3464 SUTHERLAND DR
LEXINGTON, KY
40517-2827

Practice Phone: 859-363-5664
Practice Fax:

1942060090 — NICHOLAS JENKINS LPCC
Practice Location Address:

3147 CUSTER DR
LEXINGTON, KY
40517-4020

Practice Phone: 859-447-0855
Practice Fax:

1831038025 — AGNIESZKA KOLODZIEJ
Practice Location Address:

4101 TATES CREEK CENTRE DR STE 150
LEXINGTON, KY
40517-3096

Practice Phone: 917-287-5451
Practice Fax:

1669311619 — VICTORIA MARIE VIGIL
Practice Location Address:

3099 KIRKLEVINGTON DR APT 88
LEXINGTON, KY
40517-2475

Practice Phone: 606-772-0699
Practice Fax:

Directions to “JUSTUS COMMUNITY LIVING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.