Swis Purchase, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SWIS PURCHASE, LLC

Doing business as

Purchase Youth Village

Practice address

1019 Granite Drive
Bardstown, KY 40004

Phone

(270) 252-7400

Fax

(270) 252-7419

NPI assigned

Sep 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Denise Denise Lester

Title

Ceo

Phone

(270) 252-7400

Specialties & licenses 1

Addresses

Other names 1

• Purchase Youth Village Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023895075. Details of each certification follow.

• CCN 18L043 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 18L043

Legal name

HEARTLAND YOUTH VILLAGE

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

May 15, 2024

Last certification

May 15, 2024

Beds

24

Ownership / control type

Non-profit – corporation

Facility address

1019 Granite Drive
Bardstown, KY 40004

Tax ID family

Purchase Youth Village2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Swis Purchase, LLC

  dba Purchase Youth Village

  • Psychiatric Residential Treatment Facility
  • Benton, KY
  • NPI 1659810810
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muhammad W Sajid, MD

  • Child & Adolescent Psychiatry Physician
  • Gainesville, FL
  • NPI 1801825500
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1023895075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 OLD SYMSONIA RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255044",
            "telephone_number": "270-252-7400",
            "fax_number": "270-252-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 GRANITE DRIVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "270-252-7400",
            "fax_number": "270-252-7419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "473 Old Symsonia Rd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "KY",
            "postal_code": "420255044",
            "country_code": "US",
            "telephone_number": "270-252-7400 x202",
            "fax_number": "270-252-7419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWIS PURCHASE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-252-7400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purchase Youth Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Residential Treatment Facility in Bardstown, KY
• Providers in Bardstown, KY by specialty
• Psychiatric Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.