OrganizationActive
Personal Care Agency
NPI 1104510502 · Assisted Living Facility (Mental Illness) · Louisville, KY
Provider details
- NPI number
- 1104510502
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Shavonda Hill, Owner(502) 416-2988
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
2305 Grand Ave
Louisville, KY 40210-1145
Phone: (502) 777-9201
Street-level locationGet directions
Mailing address
2305 Grand Ave
Louisville, KY 40210-1145
Registry dates
- Enumerated
- 2023-06-07
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.