JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. (NPI# 1841448735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841448735 |
| Entity Type | Organization |
| Organization Name | JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. |
| Other Organization Name | OUR LADY OF PEACE PRTF - MALCOLM HOUSE |
| Practice Address |
4418 Malcolm Ave. Louisville KY 40215 |
| Mailing Address |
Po Box 2587 Louisville KY 40201-2587 |
| Practice Telephone | 5023637918 |
| Practice Fax Number | 5023637915 |
| Mailing Telephone | 5025874099 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | MR. RONALD FARR (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5025403888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Our Lady of Peace PRTF - Malcolm House | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1336198928 | Jewish Hospital & St. Mary's Healthcare, Inc. | Family Medicine | 133 Buck Creek Rd, Simpsonville, KY 40067-6674 | 2006-05-09 |
| 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 |
| Street Address |
4418 MALCOLM AVE. |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| 1417002668 | Concepcion Llamas Monte-pajel | Psychiatry & Neurology | 1800 Bluegrass Ave., Louisville, KY 40215 | 2007-01-25 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740554864 | Uspiritus-brooklawn-steil | Psychiatric Residential Treatment Facility | 3100 Brooklawn Campus Dr, Louisville, KY 40218 | 2012-03-07 |
| 1730489113 | Maryhurst, Inc. | Psychiatric Residential Treatment Facility | 2115 Goldsmith Ln, Louisville, KY 40218-1206 | 2010-11-01 |
| 1598998619 | Village Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2431 Jones Bend Road, Louisville, TN 37777 | 2009-08-25 |
| 1558591669 | Uspiritus-brooklawn-susan's | Psychiatric Residential Treatment Facility | 2119 Goldsmith Ln, Louisville, KY 40218-1206 | 2009-07-23 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1427258979 | Flatirons Behavorial Health | Psychiatric Residential Treatment Facility | 2255 S 88 St, Louisville, CO 80227-9716 | 2007-07-23 |
| 1033275342 | Uspiritus-brooklawn-horizons | Psychiatric Residential Treatment Facility | 2104 David Graves Dr, Louisville, KY 40218 | 2006-12-29 |
| 1265598270 | Uspiritus-brooklawn-pilots | Psychiatric Residential Treatment Facility | 2108 David Graves Dr, Louisville, KY 40218 | 2006-12-28 |
| 1477618718 | Uspiritus Brooklawn Academy | Psychiatric Residential Treatment Facility | 3115 Brooklawn Campus Dr, Louisville, KY 40218 | 2006-12-27 |
| 1649258781 | Ten Broeck Dupont Inc | Psychiatric Residential Treatment Facility | 1405 Browns Ln, Louisville, KY 40207-4608 | 2006-01-09 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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| 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.