NPIMap

Organization Active NPI

Saint Joseph Health System, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Berea, KY
National Provider Identifier
1932390218
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
6000079 Issued in KY
Legal business name
SAINT JOSEPH HEALTH SYSTEM, INC
Practice address
305 Estill St
Berea, KY 40403-1742
Phone
(859) 986-3151
NPI assigned
Aug 5, 2007
Organization subpart
Yes
Parent organization
SAINT JOSEPH HEALTH SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Mrs. Kimbelry R McIntosh
Title
Business Office Manager
Phone
(859) 313-4120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 6000079 KY Primary

Addresses

Primary practice location

305 Estill St
Berea, KY 40403-1742

Mailing address

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-3151

Other names 1

  • CHI Saint Jospeh Berea SNF Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090810000332 KY Part A Provider - Critical Access Hospital 4183641400 Practice locations: Berea, KY

Hospital certification: CCN 18Z329

Legal name
SAINT JOSEPH HEALTH SYSTEM INC
Doing business as
CHI SAINT JOSEPH BEREA NF
Organization structure
CorporationNon-profit
Incorporated
Sep 30, 1998 in KY
Enrollment address
305 Estill St
Berea, KY 40403-1742
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Saint Joseph Hospital Pharmacy21 organizations share this tax ID, including this one
Part of
Saint Joseph Hospital Pharmacy

Other organizations with this tax ID 20

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

View all 20

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Commonspirit Health Organization, Englewood, CO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2012 100%
Adeline Fehribach Individual Corporate DirectorBoard Member Jan 1, 2022
Matthew Brown Individual Corporate OfficerPresident Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2025
Jane J Chiles Individual Corporate DirectorBoard Member Jan 1, 2022
Matthew L Grimshaw Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Kentuckyone Health Inc Organization, Lexington, KY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2012 100%
Terika Richardson Mbanu Individual Corporate DirectorBoard Member Jul 1, 2025
Donald D Hearne Individual Corporate OfficerSecretary Jul 1, 2025
Mary-Alicha Weldon Individual Corporate DirectorBoard Member Jan 1, 2022
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025
Saint Joseph Health System Inc Organization, Lexington, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%
Christy L Spitser Individual Corporate OfficerVP of Finance Jan 1, 2022
W-2 Managing EmployeeVP of Finance Jan 1, 2022
Daniel C Rodrigue Individual Corporate DirectorBoard Member Jan 1, 2022
Martha Jones Individual Corporate DirectorBoard Member-Chair Jan 1, 2022
Monica Kennison Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Granetta Blevins Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Winston Griffin Individual Corporate DirectorBoard Member Jan 1, 2022
Melissa Moore Murphy Individual Corporate DirectorBoard Member Jan 1, 2022
Daryl Love Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Kim Potter-Blair Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Continuing Care Hospital IncLexington, KY, CCN 182002 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 30, 1998
CHI Saint Joseph BereaBerea, KY, CCN 181329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012
CHI Saint Joseph LondonLondon, KY, CCN 180011 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2008

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1932390218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ESTILL ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031742",
            "telephone_number": "859-986-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ESTILL ST",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031742",
            "telephone_number": "859-986-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH HEALTH SYSTEM, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH HEALTH SYSTEM, INC",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "KIMBELRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "859-313-4120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KY",
            "license": "6000079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Saint Jospeh Berea SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.