NPIMap

Organization Active NPI

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

Doing business as Frazier Rehab Institute Jeffersontown

  • Rehabilitation Hospital Unit
  • Louisville, KY
National Provider Identifier
1851397871
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
100701 Issued in KY
Legal business name
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Doing business as
Frazier Rehab Institute Jeffersontown
Practice address
10216 Taylorsville Rd
Ste 950
Louisville, KY 40299-3686
Phone
(502) 267-0209
Fax
(502) 266-0980
NPI assigned
Jun 23, 2005
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Mr. Ronald Farr
Title
Chief Financial Officer
Phone
(502) 540-3888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X
Rehabilitation Hospital Unit 273Y00000X 100701 KY Primary

Addresses

Primary practice location

10216 Taylorsville Rd
Ste 950
Louisville, KY 40299-3686

Mailing address

PO Box 2587
Louisville, KY 40201-2587
Phone (502) 587-4099

Other identifiers 2

IdentifierTypeStateIssuer
0697250OtherKYAETNA HMO
000000063935OtherKYANTHEM

Other names 1

  • Frazier Rehab Institute Jeffersontown Doing business as

National Provider Directory

National Provider Directory
Part of
Jewish Hospital Healthcar

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1851397871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402012587",
            "telephone_number": "502-587-4099",
            "fax_number": "502-587-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 TAYLORSVILLE RD",
            "address_2": "STE 950",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993686",
            "telephone_number": "502-267-0209",
            "fax_number": "502-266-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.",
        "enumeration_date": "2005-06-23",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-540-3888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "KY",
            "license": "100701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0697250",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000063935",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frazier Rehab Institute Jeffersontown",
            "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 Aug 28, 2012; 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.