NPIMap

Organization Active NPI

New Jefferson Place, LLC

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1831188515
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100644 Issued in KY
Legal business name
NEW JEFFERSON PLACE, LLC
Practice address
1705 Herr LN
Louisville, KY 40222-6545
Phone
(502) 426-5600
Fax
(502) 429-3193
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Mr. Tim Travis
Title
Administrator
Phone
(502) 426-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100644 KY Primary

Addresses

Primary practice location

1705 Herr LN
Louisville, KY 40222-6545

Mailing address

1705 Herr LN
Louisville, KY 40222-6545
Phone (502) 426-5600

Other names 1

  • Jefferson Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Place2 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.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1831188515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 HERR LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226545",
            "telephone_number": "502-426-5600",
            "fax_number": "502-429-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 HERR LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226545",
            "telephone_number": "502-426-5600",
            "fax_number": "502-429-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JEFFERSON PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-426-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Place",
            "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 Sep 18, 2014; 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.