Swis Purchase, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SWIS PURCHASE, LLC

Doing business as

Purchase Youth Village

Practice address

473 Old Symsonia Rd
Benton, KY 42025-5044

Phone

(270) 252-7400

NPI assigned

Feb 20, 2017

Last updated

Oct 13, 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

Stephanie Trexler

Title

Human Resource Directo

Phone

(270) 252-7400

Specialties & licenses 2

Addresses

Other names 1

• Purchase Youth Village Doing business as

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 1659810810. Details of each certification follow.

• CCN 18L039 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 18L039

Legal name

PURCHASE YOUTH VILLAGE

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Aug 24, 2017

Last certification

Mar 14, 2024

Beds

32

Ownership / control type

Non-profit – corporation

Facility address

473 Old Symsonia Road
Benton, KY 42025

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Purchase Youth Village2 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.

• Swis Purchase, LLC

  dba Purchase Youth Village

  • Psychiatric Residential Treatment Facility
  • Bardstown, KY
  • NPI 1023895075
  NPD tax ID

Practitioners 1

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.

• Muhammad W Sajid, MD

  • Child & Adolescent Psychiatry Physician
  • Gainesville, FL
  • NPI 1801825500
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1659810810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427020340",
            "telephone_number": "270-252-7400",
            "fax_number": "270-252-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 OLD SYMSONIA RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255044",
            "telephone_number": "270-252-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIS PURCHASE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "TREXLER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "HUMAN RESOURCE DIRECTO",
        "authorized_official_telephone_number": "270-252-7400"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purchase Youth Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Purchase Youth Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol G Smith, LCSW
• Anthony David Starkey, M.D/D.C
• Noah Steele, OT
• Sterling Emergency Services of the Midwest, Inc (Marshall County Emergency Department)
• Stuart a Naulty DPM
• Travis Terrell, LPCC
• Thames Healthcare Group, LLC (Lakeway Nursing and Rehabilitation Center)
• Gretta Nicole Thomasson, APRN
• Emily Joelle Thompson
• Dana M Todd, FNP

• Psychiatric Residential Treatment Facility in Benton, KY
• Providers in Benton, KY by specialty
• Psychiatric Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.
• 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.