SYCAMORE HEIGHTS HEALTH AND REHABILITATION
NPI 1053818682
Skilled Nursing Facility in Louisville, KY

Active since April 10, 2018CLIA 18D0880191 · Waiver
1/5
Overall Rating
2141 SYCAMORE AVE, LOUISVILLE, KY 40206(502) 895-5417 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 9, 2024, Nov 6, 2018, Jul 17, 2018 and 2 more (5 updates tracked since 2018).

About Sycamore Heights Health And Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYCAMORE HEIGHTS HEALTH AND REHABILITATION (NPI 1053818682) is a healthcare organization registered as a skilled nursing facility in Louisville, Kentucky and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Mick Vujanovic, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053818682
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCV LOUISVILLE OPCO I, LLC
Location Address2141 SYCAMORE AVELouisville, KY 40206
Mailing Address2100 Cherokee Ridge Way Ste 100Louisville, KY 40205-1600 · (502) 667-8150
Organization SubpartNo
Authorized OfficialMick VujanovicCeo · (502) 667-8150
Enumeration DateApril 10, 2018
Last NPPES UpdateOctober 9, 20245 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
NPI 1053818682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

Also ListedRespite CareTaxonomy 385H00000X
2141 SYCAMORE AVE, Louisville, KY 40206

Other Names 1

Doing Business AsSycamore Heights Health And Rehabilitation

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0880191

Cv Louisville Opco 1 LLC D/B/A Sycamore Heights Health And Rehabilitation · Louisville, KY
Active · expires Nov 17, 2026
CLIA Number18D0880191
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorMs. Tiffany James
Laboratory Phone(502) 895-5417
Laboratory LocationCv Louisville Opco 1 LLC D/B/A Sycamore Heights Health And Rehabilitation2141 Sycamore Avenue, Louisville, KY 40206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 1 out of 5 stars - Much Below Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 1 out of 5 stars - Much Below Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 1 out of 5 stars - Much Below Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 1 out of 5 stars - Much Below Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 4 out of 5 stars - Above Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours2.05 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.98 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover73.3%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Ownership TypeFor profit - Limited Liability company
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds96 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day77 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents0 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints1 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties1 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines1 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$15,645.50
Total monetary amount of fine imposed on the facility in the last 3 years.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
2141 SYCAMORE AVE
LOUISVILLE, KY 40206
Physical Therapy Assistant
2141 SYCAMORE AVE
LOUISVILLE, KY 40206
Physical Therapist
2141 SYCAMORE AVE
LOUISVILLE, KY 40206
Occupational Therapy Assistant
2141 SYCAMORE AVE
LOUISVILLE, KY 40206
Occupational Therapy Assistant
2141 SYCAMORE AVE
LOUISVILLE, KY 40206
Occupational Therapist
2141 SYCAMORE AVE
LOUISVILLE, KY 40206
Skilled Nursing Facility
2141 SYCAMORE AVE
LOUISVILLE, KY 40206
Physical Therapy Assistant
2141 SYCAMORE AVE
LOUISVILLE, KY 40206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053818682, enumerated as an "organization" on April 10, 2018.

The provider is located at 2141 SYCAMORE AVE LOUISVILLE, KY 40206 and the phone number is (502) 895-5417.

Skilled Nursing Facility with taxonomy code 314000000X.