Caritas Peace Center

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

100236 Issued in KY

Legal business name

CARITAS PEACE CENTER

Practice address

2020 Newburg Rd
Louisville, KY 40205-1803

Phone

(502) 451-3330

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By 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

Stephen J Scannell

Title

Vice President

Phone

(502) 587-4883

Specialties & licenses 1

Addresses

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 1417167131. Details of each certification follow.

• CCN 184000 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 184000

Legal name

CARITAS PEACE CENTER

Certification status

Terminated Voluntary: merger or closure, Aug 1, 2001

Provider type (POS)

Hospital – Psychiatric

Participating since

Jul 1, 1966

Last certification

Sep 27, 2001

Beds

416

Ownership / control type

Church

Most recent change of ownership

Sep 1, 1995 (1 total)

Facility address

2020 Newburg Rd
Louisville, KY 40205

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417167131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402012587",
            "telephone_number": "502-451-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051803",
            "telephone_number": "502-451-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS PEACE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCANNELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-587-4883"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "KY",
            "license": "100236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hands of Kentucky Adukt Day and Neurorehab
• Caring Hands of Kentucky Adult Day and Neurorehab
• Caring Hands of Kentucky Adult Day and Neurorehab
• Caring Hands of Kentucky Adult Day and Neurorehab
• Caring Hearts Place LLC
• Caritas Physician Group, Inc.
• Caritas Rehab Service LLC
• Cariten Health Plan Inc.
• Michelle Carle502, M.S.
• Kimberlee Ann Carley, OTR/L

• Psychiatric Hospital in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatric Hospital in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.