Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SHIVELY FIRST HEALTH CARE, LLC
Active
Organization
SHIVELY FIRST HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVIN PANTESS (CHIEF OPERATIONS OFFICER)
(502) 259-8811
Entity
Organization
Contact information
Practice address
924 E BROADWAY, LOUISVILLE, KY 40204-1057
(502) 200-1335
(502) 200-8904
Mailing address
924 E BROADWAY, LOUISVILLE, KY 40204-1057
(502) 200-1335
(502) 200-8904
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100912570
—
KY
Enumeration date
09/21/2023
Last updated
07/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up