Nazareth Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NAZARETH HOME, INC.

Doing business as

Sacred Heart Home of Louisville

Practice address

2120 Payne St
Louisville, KY 40206-2012

Phone

(502) 595-9425

Fax

(502) 357-5549

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Wheatley, CPA

Title

Cfo

Phone

(502) 459-9681

Specialties & licenses 1

Addresses

Other names 1

• Sacred Heart Home of Louisville Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205292893. Details of each certification follow.

• CCN 185442 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185442

Legal name

NAZARETH HOME INC

Doing business as

NAZARETH HOME CLIFTON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jan 28, 2000

Last certification

May 8, 2025

Beds

113

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Nazareth Home, Inc.

Most recent change of ownership

Jan 1, 2016

Organization structure

CorporationNon-profit

Incorporated

Jul 29, 2011 in KY

Enrollment address

2120 Payne St
Louisville, KY 40206-2012

Nursing home name

NAZARETH HOME CLIFTON

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nazareth Home Inc

  • Skilled Nursing Facility
  • Louisville, KY
  • NPI 1346312824

  7416082987

  Same PAC ID

Listed as

Nazareth Home CliftonCCN 185442 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 28, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

113106.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Daybreak Adult Day Center2 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.

• Nazareth Home, Inc.

  dba Daybreak Adult Day Center

  • Adult Day Care Clinic/Center
  • Louisville, KY
  • NPI 1720446479
  NPD tax ID

All disclosed owners & managing parties 27

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Paul Clint Bricker, MD

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1013398841

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Carolyn R Fegenbush, ARNP

  • Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1629009790

  Corporate Director

  CMS ownership

Practitioners 3

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.

• Paul Clint Bricker, MD

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1013398841
  NPD (past)
• Tyler Smith McQueen, M.D.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1194103002
  NPD (past)
• Carolyn R Fegenbush, ARNP

  • Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1629009790
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Paul Clint Bricker, MD

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1013398841

  Nursing home

  Care Compare affiliation
• Tyler Smith McQueen, M.D.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1194103002

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1205292893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051803",
            "telephone_number": "502-459-9681",
            "fax_number": "502-456-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PAYNE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062012",
            "telephone_number": "502-595-9425",
            "fax_number": "502-357-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-459-9681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Home of Louisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vibha S Nayak, MD
• Tushar Nayar, M.D.
• Katelynn Naylor, LPN
• Gregory B Nazar, M.D.
• Nazareth Home Inc
• Nazareth Home, Inc. (Daybreak Adult Day Center)
• Heeba Nazeer
• Khurram Nazeer, MD
• Arif Nazir, MD
• NC LLC (New Pathway Radcliff)

• Skilled Nursing Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.