NPIMap

Organization Active NPI

Jewish Hospital & St. Mary'S Healthcare, Inc.

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1669414686
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Practice address
2100 Millvale Rd
Louisville, KY 40205-1604
Phone
(502) 451-0990
Fax
(502) 459-1018
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stephen J Scannell
Title
Vice President of Finance
Phone
(502) 587-4883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2100 Millvale Rd
Louisville, KY 40205-1604

Mailing address

2100 Millvale Rd
Louisville, KY 40205-1604
Phone (502) 451-0990

Other identifiers 1

IdentifierTypeStateIssuer
12502886MedicaidKY

Other names 1

  • Four Courts Senior Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jewish Hospital Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1669414686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MILLVALE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051604",
            "telephone_number": "502-451-0990",
            "fax_number": "502-459-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MILLVALE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051604",
            "telephone_number": "502-451-0990",
            "fax_number": "502-459-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "SCANNELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "502-587-4883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12502886",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Courts Senior Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.