JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.


Address: 727 Hospital Dr, Shelbyville, KY 40065-1660
Phone: 5026474000

JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. (NPI# 1417011354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417011354
Entity Type Organization
Organization Name JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Other Organization Name JEWISH HOSPITAL SHELBYVILLE SKILLED NURSING FACILITY
Practice Address 727 Hospital Dr
Shelbyville
KY 40065-1660
Mailing Address Po Box 2587
Louisville
KY 40201-2587
Practice Telephone 5026474000
Mailing Telephone 5025874099
Enumeration Date 2006-12-21
Last Update Date 2012-08-28
Authorized Official Name MR. RONALD FARR (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 5025403888
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 100385 KY Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Jewish Hospital Shelbyville Skilled Nursing Facility Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215356837 Jewish Hospital & St. Mary's Healthcare, Inc. Pharmacy 5111 Commerce Crossings Dr Ste 120, Louisville, KY 40229-2191 2014-04-10
1396985131 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4419 Lasalle Ave, Louisville, KY 40215 2009-03-05
1841448735 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4418 Malcolm Ave., Louisville, KY 40215 2008-09-04
1447434493 Jewish Hospital & St. Mary's Healthcare, Inc. Clinic/Center 313 Federal Drive, Suite 110, Corydon, IN 47112 2007-12-27
1407049992 Jewish Hospital & St. Mary's Healthcare, Inc. Pharmacy 5000 Commerce Crossings Dr, Suite 100a, Louisville, KY 40229-2119 2007-08-20
1043328982 Jewish Hospital & St. Mary's Healthcare, Inc. Clinic/Center 2201 Greentree N, Clarksville, IN 47129-8957 2006-08-29
1427166271 Jewish Hospital & St. Mary's Healthcare, Inc. Clinic/Center 4812 Hamburg Pike, Jeffersonville, IN 47130-9209 2006-08-29
1922040815 Jewish Hospital & St. Mary's Healthcare, Inc. Nursing Care 539 S 4th St, Louisville, KY 40202-2535 2006-06-12
1306888284 Jewish Hospital & St. Mary's Healthcare, Inc. Rehabilitation Unit 2020 Newburg Rd., Louisville, KY 40205-1803 2006-06-12
1669414686 Jewish Hospital & St. Mary's Healthcare, Inc. Skilled Nursing Facility 2100 Millvale Rd, Louisville, KY 40205-1604 2006-06-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. 200 Abraham Flexner Way, Louisville, KY 40202-1818

Office Location

Street Address 727 HOSPITAL DR
City SHELBYVILLE
State KY
Zip Code 40065-1660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922002682 Ashton Hudson Emergency Medicine 727 Hospital Dr, Shelbyville, KY 40065-1660 2005-06-10
1497397053 Uofl Health-shelbyville Inc General Acute Care Hospital 727 Hospital Dr, Shelbyville, KY 40065-1660 2019-10-15
1982175329 Anne Noelle Powell Registered Nurse 727 Hospital Dr, Shelbyville, KY 40065-1660 2018-12-11
1760814602 Annette Lynn Green Nurse Practitioner 727 Hospital Dr, Hospitalist Department, Shelbyville, KY 40065-1660 2013-08-02
1801106919 Jewish Hospital & St. Mary's Healthcare, Inc. Clinical Medical Laboratory 727 Hospital Dr, Shelbyville, KY 40065-1660 2010-10-08
1538470224 Jena Thomas Ruxer Family Medicine 727 Hospital Dr, Shelbyville, KY 40065-1660 2010-06-28
1386979938 Amy Phillips Nurse Practitioner 727 Hospital Dr, Shelbyville, KY 40065-1660 2009-10-14
1508090630 Tyler Mason Corey Emergency Medicine 727 Hospital Dr, Shelbyville, KY 40065-1660 2009-05-04
1992942056 Sarah Michelle Sanders Registered Nurse 727 Hospital Dr, Shelbyville, KY 40065-1660 2009-01-12
1780861385 Jewish Hospital & St. Mary's Healthcare, Inc. Anesthesiology 727 Hospital Dr, Shelbyville, KY 40065-1660 2008-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013348242 Elisa Sykes-brees Counselor 250 Alpine Drive, Shelbyville, KY 40065 2013-12-13
1073800512 Mimi Y. R. Rayburn Nurse Practitioner 865 Old Taylorsville Rd, Shelbyville, KY 40065 2011-07-05
1124310677 Amanda B Dassel Pharmacist 1605 Midland Trail, Shelbyville, KY 40065 2011-05-03
1639468812 Tia M Alton Pediatrics 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 2011-03-29
1699073338 Emily Ann Waits Dietitian, Registered 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 2011-03-04
1124335401 Kelli L. Fetter Occupational Therapist 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 2010-09-08
1083939425 Marilyn Louise Rhoads Licensed Practical Nurse 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 2010-03-29
1154525277 Dorman Preschool Center Early Intervention Provider Agency 719 Burks Branch Road, Shelbyville, KY 40065 2007-06-13
1194946368 Joanna Sames Pharmacist 16 Village Plaza, Shelbyville, KY 40065 2007-05-02
1033298922 Robyn A Keeling Dentist 502 Mount Eden Rd, Shelbyville, KY 40065 2006-11-03
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629222633 Petersen Health Operations Skilled Nursing Facility 2116 W South 3rd St, Shelbyville, IL 62565-9102 2008-11-05
1871794222 Glen Oaks, LLC Skilled Nursing Facility 1101 Glenoaks Rd, Shelbyville, TN 37160 2007-05-31
1811007370 Bedford County Nursing Home Skilled Nursing Facility 835 Union St, Shelbyville, TN 37160-2607 2006-08-30
1912015058 Hancock Regional Hospital Skilled Nursing Facility 2200 N Riley Hwy, Shelbyville, IN 46176-9465 2006-08-28
1245343706 Crestview Nursing, LLC Skilled Nursing Facility 1871 Midland Trl, Shelbyville, KY 40065-9111 2006-08-17
1669495131 Masonic Homes of Kentucky Inc Skilled Nursing Facility 711 Frankfort Rd, Shelbyville, KY 40065-9447 2006-07-25
1518990704 Shelbyville Hco, LLC Skilled Nursing Facility 2116 South 3rd Street, Shelbyville, IL 62565 2006-07-09
1770538290 Glen Oaks Convalescent Center Skilled Nursing Facility 1101 Glen Oaks Road, Shelbyville, TN 37160 2006-05-23
1851387260 Unlimited Development, Inc Skilled Nursing Facility 1111 West North 12th St, Shelbyville, IL 62565-9554 2005-09-21
1912530189 Shelbyville Hco, LLC Skilled Nursing Facility 2116 W South 3rd St, Shelbyville, IL 62565-9102 2020-02-17
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Competitor

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City SHELBYVILLE
Zip Code 40065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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