Active NPI
Seneca Place LLC
- Skilled Nursing Facility
- Louisville, KY
National Provider Identifier
1558916569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SENECA PLACE LLC
- Practice address
- 3526 Dutchmans LN
Louisville, KY 40205-3256 - Phone
- (502) 452-6331
- NPI assigned
- Aug 6, 2019
- 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
- Paul Pruitt
- Title
- Officer
- Phone
- (317) 288-4029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3526 Dutchmans LN
Louisville, KY 40205-3256
Mailing address
100 Boulevard of Americas
Lakewood, NJ 08701-4585
Phone (732) 961-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191004001488 | KY | Part A Provider - Skilled Nursing Facility | 8123359106 | Practice locations: Louisville, KY |
Skilled nursing facility certification: CCN 185456
- Legal name
- SENECA PLACE LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home โ SNF/NF dual certification
- Participating since
- Feb 25, 2005
- Last certification
- Feb 9, 2024
- Beds
- 130
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jul 25, 2019 in IN
- Enrollment address
- 3526 Dutchmans LN
Louisville, KY 40205-3256 - Nursing home name
- SENECA PLACE
- Affiliated entity
- DAVID MARX
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Seneca Place
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 25, 2005
- Medicare certification status
- Active
- Certified beds
- 130
- Chain
- David Marx
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Seneca Place Holdings LLC | 5% Or Greater Direct Ownership Interest | Jul 25, 2019 | 100% |
| Taylor Shaw | W-2 Managing Employee | Aug 30, 2019 | |
| Bernard J McGuinness | Corporate Officer | Aug 30, 2019 | |
| David Marx | 5% Or Greater Indirect Ownership Interest | Jul 25, 2019 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Louisville, KY
- NPI 1124027719
-
- Pulmonary Disease Physician
- Louisville, KY
- NPI 1205853900
Affiliated clinicians 2
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": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689811200000",
"number": "1558916569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BOULEVARD OF AMERICAS",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014585",
"telephone_number": "732-961-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3526 DUTCHMANS LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053256",
"telephone_number": "502-452-6331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENECA PLACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-06",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A",
"authorized_official_last_name": "PRUITT",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "317-288-4029"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.
- 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.