Organization
HOME OF THE INNOCENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCDONALD (CHIEF FINANCE OFFICIER)
(502) 596-1039
Entity
Organization
Contact information
Practice address
1100 E MARKET ST., LOUISVILLE, KY 40206
(502) 596-1000
(502) 596-1413
Mailing address
1100 E MARKET ST., LOUISVILLE, KY 40206
(502) 596-1000
(502) 596-1413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
208000000X
Pediatrics Physician
Primary
740143
KY
225100000X
Physical Therapist
101130
KY
225X00000X
Occupational Therapist
101130
KY
235Z00000X
Speech-Language Pathologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
251B00000X
Case Management Agency
740143
KY
251S00000X
Community/Behavioral Health Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
101130
KY
3140N1450X
Pediatric Skilled Nursing Facility
100493
KY
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12500989
—
KY
05
—
201015150A
—
IN
05
—
300031860
—
IN
05
—
65902470
—
KY
05
—
7100156180
—
KY
05
—
7100173100
—
KY
05
—
7100229960
—
KY
05
—
7100268020
—
KY
05
—
7100275730
—
KY
05
—
7100281540
—
KY
05
—
7100305090
—
KY
05
—
7100315940
—
KY
Enumeration date
05/23/2006
Last updated
04/24/2025
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