NPI 1104639376

Colonial House I LLC

Organisation Assisted Living Facility (Mental Illness) Shepherdsville, KY

Practice location

Address: 1516 Highway 44 E, Shepherdsville, KY 40165-7182
Phone: (502) 883-9113
Mailing address: 455 Central Ave STE 215, Cedarhurst, NY 11516-2008

Authorised official

Name: Raquel Edery
Title: Coo
Phone: (516) 708-3503

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

Other Assisted Living Facility providers in Kentucky →

Registry record

NPI: 1104639376
Entity type: Organization
NPI issued: 30 Jan 2025
Record last updated: 30 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.