LOUISVILLE KY OPCO LLC
NPI 1063272540
Skilled Nursing Facility in Louisville, KY

Active since March 20, 2024CLIA 18D0320970 · Waiver
920 S 4TH ST, LOUISVILLE, KY 40203(502) 582-6533 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Louisville Ky Opco Llc NPPES

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

LOUISVILLE KY OPCO LLC (NPI 1063272540) is a healthcare organization registered as a skilled nursing facility in Louisville, Kentucky and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Max Kenigsberg, Manager, as its authorized official.

NPPES Registry Identity

NPI1063272540
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLOUISVILLE KY OPCO LLC
Location Address920 S 4TH STLouisville, KY 40203-3206
Mailing Address920 S 4th StLouisville, KY 40203-3206 · (502) 582-6533
Organization SubpartNo
Authorized OfficialMax KenigsbergManager · (646) 671-1258
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1063272540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
920 S 4TH ST, Louisville, KY 40203

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 18D0320970

Louisville Ky Opco LLC Dba River Oaks Post Acute And Rehabilitation Center · Louisville, KY
Active · expires Jun 8, 2027
CLIA Number18D0320970
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorMr. Jeff Lewis
Laboratory Phone(502) 583-6533
Laboratory LocationLouisville Ky Opco LLC Dba River Oaks Post Acute And Rehabilitation Center920 S 4th St, Louisville, KY 40203
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Skilled Nursing Facility
920 S 4TH ST
LOUISVILLE, KY 40203
Speech-Language Pathologist
920 S 4TH ST
LOUISVILLE, KY 40203
Speech-Language Pathologist
920 S 4TH ST
LOUISVILLE, KY 40203
Skilled Nursing Facility
920 S 4TH ST
LOUISVILLE, KY 40203
Occupational Therapist (Gerontology)
920 S 4TH ST
LOUISVILLE, KY 40203
Speech-Language Pathologist
920 S 4TH ST
LOUISVILLE, KY 40203
Occupational Therapist
920 S 4TH ST
LOUISVILLE, KY 40203
Occupational Therapist
920 S 4TH ST
LOUISVILLE, KY 40203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Louisville Ky Opco LLC's NPI number?

The NPI number for Louisville Ky Opco LLC is 1063272540. It was assigned to this organization in the NPPES registry on March 20, 2024.

Where is Louisville Ky Opco LLC located?

Louisville Ky Opco LLC is located at 920 S 4th St, Louisville, KY 40203. The listed phone number is (502) 582-6533.

What is Louisville Ky Opco LLC's specialty?

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

Does Louisville Ky Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0320970) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Louisville Ky Opco LLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.