Prodigal Son Life Builders
Prodigal Son Life Builders is a Case Manager/Care Coordinator in Louisville, Kentucky. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 5
Practice location Address checks out
1154 S 15th StLouisville, KY 40210-1567
Phone: (804) 605-5318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Community Health Worker | Taxonomy 172V00000X |
| Peer Specialist | Taxonomy 175T00000X |
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1740145044 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Janae Dickerson — Manager · (804) 605-5318 |
| NPI enumerated | December 18, 2025 |
| Last updated in NPPES | April 17, 2026 |
| Certification date | April 17, 2026 |
| Mailing address | 1154 S 15th St, Louisville, KY 40210-1567 |
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