Individual provider · Type 1 NPI

Latisha L. Long

Adult Care Home Facility · Louisville, KY

NPI number 1639021348 Active

Practice location

4521 Shelvis Dr
Louisville, KY 40216-3072

Call (502) 387-5015 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X252686 (KY)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1639021348

Latisha L. Long's National Provider Identifier is 1639021348, issued on Feb 13, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Louisville, KY. The record was last updated on Feb 13, 2026.