Organization Active NPI

Masonic Homes of Louisville LLC

Doing business as Sam Swope Care Center

  • Skilled Nursing Facility
  • Masonic Home, KY
National Provider Identifier
1437976750
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCNon-profit
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 CenterCCN 185388 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 8, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
136125.6 residents per day on average
Penalties (3 years)
2Fines totaling $14,859

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Ronald Caughron Individual Corporate DirectorBoard Member Aug 30, 2024
Todd Lacy Individual Corporate DirectorBoard Member Aug 30, 2024
Operational/Managerial Control Dec 3, 2024
Managing Control - Governing BodyGoverning Board Member Aug 30, 2024
Adp of the SNF Dec 3, 2024
Edward Wilson Individual Corporate DirectorBoard Member Aug 30, 2024
Laura J Morton Individual Adp of the SNF Aug 30, 2024
Richard Short Individual Corporate DirectorBoard Member Aug 30, 2024
William Perry Individual Corporate DirectorBoard Member Aug 30, 2024
Michael Yount Individual Corporate DirectorBoard Member Aug 30, 2024
Chris Stout Individual Corporate DirectorBoard Member Aug 30, 2024
Geary Laird Individual Corporate DirectorBoard Member Aug 30, 2024
Mhky Management Services, LLC Organization, Masonic Home, KY LLC, Management services company Operational/Managerial Control Dec 3, 2024
Adp of the SNF Dec 3, 2024
Mitchell May Individual Corporate DirectorBoard Member Aug 30, 2024
Luke Martin Individual Corporate DirectorBoard Member Aug 30, 2024
Mark Galloway Individual Corporate DirectorBoard Member Aug 30, 2024
Masonic Homes of Kentucky Inc. Organization, Masonic Home, KY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 30, 2024 100%
Adp of the SNF Dec 3, 2024
Mhky Real Estate, LLC Organization, Masonic Home, KY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 30, 2024
Adp of the SNF Dec 3, 2024
Timothy Sanders Individual Corporate DirectorBoard Member Aug 30, 2024
Frank Keith Dreier Individual Corporate DirectorBoard Member Aug 30, 2024
Wendell Littlefield Individual Corporate DirectorBoard Member Aug 30, 2024
Robert Griggs Individual Corporate DirectorBoard Member Aug 30, 2024
Terry Bowman Individual Corporate DirectorBoard Member Aug 30, 2024
David Brown Individual Operational/Managerial Control Aug 30, 2024
Adp of the SNF Aug 30, 2024
William Vinson Individual Corporate DirectorBoard Member Aug 30, 2024
Willian Canon Individual Corporate DirectorBoard Member Aug 30, 2024
J Scott Judy Individual Corporate DirectorBoard Member 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 Individual Corporate DirectorBoard Member Aug 30, 2024
Donald Yankey Individual Corporate DirectorBoard Member Aug 30, 2024
Carmel J Person Individual Adp of the SNF Aug 30, 2024
Terry Boggess Individual Corporate DirectorBoard Member Aug 30, 2024
Dan Lynn Individual Corporate DirectorBoard Member 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.

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

Verify at the official NPI Registry.