Mercy Sacred Heart, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

750092 Issued in KY

Legal business name

MERCY SACRED HEART, INC.

Doing business as

DayBreak Adult Day Health Center

Practice address

2120 Payne St
Louisville, KY 40206-2012

Phone

(502) 895-9425

Fax

(502) 357-5549

NPI assigned

Jun 7, 2007

Last updated

Aug 22, 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

Ms. Martha Workman

Title

President

Phone

(502) 357-5536

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DayBreak Adult Day Health Center Doing business as

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881897833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "MERCY SACRED HEART, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-357-5536",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "KY",
            "license": "750092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43012566",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DayBreak Adult Day Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Mercola
• Allison Rose Mercurio, COTA/L
• Mercury Ambulance Service Inc (American Medical Response - Louisville)
• Mercy Ambulance Service, Inc.
• Mercy Sacred Heart, Inc. (Sacred Heart Village)
• Alexus Meredith, RBT
• Britany Meredith
• Claudia Hall Meredith, APRN
• Connie Meredith, MD
• Heather Christine Meredith, M.A., BCBA, LBA

• 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 Aug 22, 2020; 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.