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

Q: What is Cv Louisville Opco I, LLC's NPI number?

The NPI number for Cv Louisville Opco I, LLC is 1053818682. It was assigned to this organization in the NPPES registry on April 10, 2018. The provider is doing business as Sycamore Heights Health And Rehabilitation.

Q: What is Cv Louisville Opco I, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does Cv Louisville Opco I, LLC have?

CMS rates Sycamore Heights Health And Rehabilitation 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

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: August 09, 2026.

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

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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

Phone(502) 895-5417

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

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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 Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Sycamore Heights Health And Rehabilitation (CMS certification number 185348), from CMS Care Compare.

Sycamore Heights Health And Rehabilitation

Nursing home · Louisville, KY

1/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number185348

Certified Beds96 beds77 residents per day on average

Medicare & Medicaid Participant SinceApril 7, 1992

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

1/5

Long-Stay Quality

Quality of care delivered to long-term residents.

1/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

1/5

Staffing

Based on nursing staff hours relative to resident needs.

4/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.05 · LPN 0.71 · RN 0.98

3.75 hrs per resident per day

Weekend Nurse Staffing

3.19 hrs per resident per day

Physical Therapist Staffing

0.07 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

69%

Registered Nurse Turnover

73.3%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

1 totaling $15,645.50

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

DYLAN ZHANG ODELL

Nurse Practitioner (Psychiatric/Mental Health)