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NPI Code Detail

MEDICARE: SHEPHERD'S HOUSE INC.

MEDICARE: SHEPHERD'S HOUSE INC.
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
1251B00000XCase Management Agency
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3324500000XSubstance Abuse Rehabilitation Facility810066KY

General Provider Information

NPI Number : 1861891541
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHEPHERD'S HOUSE INC.
Provider Business Mailing Address
First Line : 2141 EXECUTIVE DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-4869
Country : US
Telephone Number : 859-252-1939
Fax Number : 859-252-1935
Provider Business Practice Location Address
First Line : 635 MAXWELTON CT
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-4012
Country : US
Telephone Number : 859-252-1939
Fax Number : 859-252-1935
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : SEAN D SCHOMP
Credential : CADC
Telephone Number : 859-252-1939
Provider Enumeration Date : 08/19/2014
Last Update Date : 03/30/2026

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Directions to “SHEPHERD'S HOUSE INC. ” Practice Location

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