Active NPI
Masonic Homes of Louisville LLC
Doing business as Sam Swope Care Center
- Skilled Nursing Facility
- Masonic Home, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MASONIC HOMES OF LOUISVILLE LLC
- Doing business as
- Sam Swope Care Center
- Practice address
- 240 Masonic Home Dr
Masonic Home, KY 40041-9000 - Phone
- (502) 897-4907
- Fax
- (502) 897-8714
- NPI assigned
- Sep 26, 2024
- Last updated
- Sep 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Renee Bitar
- Title
- Corp Director of Billing & Reimb
- Phone
- (502) 753-8331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
240 Masonic Home Dr
Masonic Home, KY 40041-9000
Mailing address
240 Masonic Home Dr
Masonic Home, KY 40041-9000
Phone (502) 897-4907
Other names 1
- Sam Swope Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241010004033 | KY | Part A Provider - Skilled Nursing Facility | 7517499809 | Practice locations: Masonic Home, KY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1437976750. Details of each certification follow.
Skilled nursing facility certification: CCN 185388
- Legal name
- MASONIC HOMES OF LOUISVILLE LLC
- Doing business as
- SAM SWOPE CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Nov 8, 1993
- Last certification
- Aug 16, 2024
- Beds
- 167 (136 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- LLC
- Enrollment address
- 240 Masonic Home Dr
Masonic Home, KY 40041-9000 - Nursing home name
- SAM SWOPE CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sam Swope Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 8, 1993
- Medicare certification status
- Active
- Certified beds
- 136
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 29
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ronald Caughron | Corporate Director | Aug 30, 2024 | |
| Todd Lacy | Corporate Director | Aug 30, 2024 | |
| Operational/Managerial Control | Dec 3, 2024 | ||
| Managing Control - Governing Body | Aug 30, 2024 | ||
| Adp of the SNF | Dec 3, 2024 | ||
| Edward Wilson | Corporate Director | Aug 30, 2024 | |
| Laura J Morton | Adp of the SNF | Aug 30, 2024 | |
| Richard Short | Corporate Director | Aug 30, 2024 | |
| William Perry | Corporate Director | Aug 30, 2024 | |
| Michael Yount | Corporate Director | Aug 30, 2024 | |
| Chris Stout | Corporate Director | Aug 30, 2024 | |
| Geary Laird | Corporate Director | Aug 30, 2024 | |
| Mhky Management Services, LLC | Operational/Managerial Control | Dec 3, 2024 | |
| Adp of the SNF | Dec 3, 2024 | ||
| Mitchell May | Corporate Director | Aug 30, 2024 | |
| Luke Martin | Corporate Director | Aug 30, 2024 | |
| Mark Galloway | Corporate Director | Aug 30, 2024 | |
| Masonic Homes of Kentucky Inc. | 5% Or Greater Indirect Ownership Interest | Aug 30, 2024 | 100% |
| Adp of the SNF | Dec 3, 2024 | ||
| Mhky Real Estate, LLC | 5% Or Greater Direct Ownership Interest | Aug 30, 2024 | |
| Adp of the SNF | Dec 3, 2024 | ||
| Timothy Sanders | Corporate Director | Aug 30, 2024 | |
| Frank Keith Dreier | Corporate Director | Aug 30, 2024 | |
| Wendell Littlefield | Corporate Director | Aug 30, 2024 | |
| Robert Griggs | Corporate Director | Aug 30, 2024 | |
| Terry Bowman | Corporate Director | Aug 30, 2024 | |
| David Brown | Operational/Managerial Control | Aug 30, 2024 | |
| Adp of the SNF | Aug 30, 2024 | ||
| William Vinson | Corporate Director | Aug 30, 2024 | |
| Willian Canon | Corporate Director | Aug 30, 2024 | |
| J Scott Judy | Corporate Director | Aug 30, 2024 | |
| Operational/Managerial Control | Dec 3, 2024 | ||
| Managing Control - Governing Body | Aug 30, 2024 | ||
| Adp of the SNF | Dec 3, 2024 | ||
| Cameron Poe | Corporate Director | Aug 30, 2024 | |
| Donald Yankey | Corporate Director | Aug 30, 2024 | |
| Carmel J Person | Adp of the SNF | Aug 30, 2024 | |
| Terry Boggess | Corporate Director | Aug 30, 2024 | |
| Dan Lynn | Corporate Director | Aug 30, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1619003951
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1528190063
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1437976750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MASONIC HOME DR",
"city": "MASONIC HOME",
"state": "KY",
"postal_code": "400419000",
"telephone_number": "502-897-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MASONIC HOME DR",
"city": "MASONIC HOME",
"state": "KY",
"postal_code": "400419000",
"telephone_number": "502-897-4907",
"fax_number": "502-897-8714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASONIC HOMES OF LOUISVILLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "BITAR",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "CORP DIRECTOR OF BILLING & REIMB",
"authorized_official_telephone_number": "502-753-8331"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sam Swope Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Masonic Home, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.