Nazareth Home, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

NAZARETH HOME, INC.

Doing business as

Daybreak Adult Day Center

Practice address

2120 Payne St
Louisville, KY 40206-2012

Phone

(502) 895-9425

Fax

(502) 357-5549

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By 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

Mr. Kevin J Wheatley, CPA

Title

Cfo

Phone

(502) 459-9681

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Daybreak Adult Day Center Doing business as

Tax ID family

Daybreak Adult Day Center2 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.

• Nazareth Home, Inc.

  dba Sacred Heart Home of Louisville

  • Skilled Nursing Facility
  • Louisville, KY
  • NPI 1205292893
  NPD tax ID

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1720446479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051803",
            "telephone_number": "502-459-9681",
            "fax_number": "502-456-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PAYNE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062012",
            "telephone_number": "502-895-9425",
            "fax_number": "502-357-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-459-9681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750092",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tushar Nayar, M.D.
• Katelynn Naylor, LPN
• Gregory B Nazar, M.D.
• Nazareth Home Inc
• Nazareth Home, Inc. (Sacred Heart Home of Louisville)
• Heeba Nazeer
• Khurram Nazeer, MD
• Arif Nazir, MD
• NC LLC (New Pathway Radcliff)
• Anne Wangoi Ncebere, APRN

• Adult Day Care Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Day Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.