OrganizationActive
Kentucky Life Source Inc
NPI 1083471262 · Community/Behavioral Health Agency · Louisville, KY
Kentucky Life Source Inc is a Community/Behavioral Health Agency organization in Louisville, KY (NPI 1083471262).
Provider details
- NPI number
- 1083471262
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jacqueline Sanders, Credentialing Admin(502) 365-3394
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2619 W Broadway
Louisville, KY 40211-1332
Phone: (502) 303-7665
Street-level locationGet directions
Mailing address
2619 W Broadway
Louisville, KY 40211-1332
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2025-03-13
- Certified
- 2025-03-13
Frequently asked questions
- What is Kentucky Life Source Inc's NPI number?
- Kentucky Life Source Inc's National Provider Identifier (NPI) is 1083471262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kentucky Life Source Inc?
- Kentucky Life Source Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Kentucky Life Source Inc located?
- Kentucky Life Source Inc's practice location on file with NPPES is 2619 W Broadway, Louisville, KY 40211-1332.
- What is Kentucky Life Source Inc's phone number?
- The practice phone number listed in the NPPES registry for Kentucky Life Source Inc is (502) 303-7665.
- Who is the authorized official for Kentucky Life Source Inc?
- The authorized official listed on Kentucky Life Source Inc's NPPES record is Jacqueline Sanders, Credentialing Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kentucky Life Source Inc's NPI active?
- Yes — Kentucky Life Source Inc's NPI (1083471262) is active in the NPPES registry as of the last update on 2025-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.