SACRED HEART HOME OF LOUISVILLE
NPI 1205292893
Skilled Nursing Facility in Louisville, KY

Active since January 12, 2016CLIA 18D0714259 · Waiver
2120 PAYNE ST, LOUISVILLE, KY 40206(502) 595-9425(502) 357-5549 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sacred Heart Home Of Louisville NPPES

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

SACRED HEART HOME OF LOUISVILLE (NPI 1205292893) is a healthcare organization registered as a skilled nursing facility in Louisville, Kentucky and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kevin Wheatley, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205292893
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNAZARETH HOME, INC.
Location Address2120 PAYNE STLouisville, KY 40206-2012
Mailing Address2000 Newburg RdLouisville, KY 40205-1803 · (502) 459-9681 · Fax (502) 456-9077
Fax(502) 357-5549
Organization SubpartNo
Authorized OfficialKevin WheatleyCfo · (502) 459-9681
Enumeration DateJanuary 12, 2016
NPI 1205292893 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.
2120 PAYNE ST, Louisville, KY 40206

Other Names 1

Doing Business AsSacred Heart Home Of Louisville

Other Identifiers 1

Medicare PIN185442

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 18D0714259

Nazareth Home, Inc · Louisville, KY
Active · expires Aug 31, 2026
CLIA Number18D0714259
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Mary Haynes
Laboratory Phone(502) 459-9681
Laboratory LocationNazareth Home, Inc2000 Newburg Road, Louisville, KY 40205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
2120 PAYNE ST
LOUISVILLE, KY 40206
Nursing Facility/Intermediate Care Facility
2120 PAYNE ST
LOUISVILLE, KY 40206
Occupational Therapy Assistant
2120 PAYNE ST
LOUISVILLE, KY 40206
Nurse Practitioner
2120 PAYNE ST
LOUISVILLE, KY 40206
Clinic/Center (Adult Day Care)
2120 PAYNE ST
LOUISVILLE, KY 40206
Nurse Practitioner (Family)
2120 PAYNE ST
LOUISVILLE, KY 40206
Clinic/Center (Adult Day Care)
2120 PAYNE ST
LOUISVILLE, KY 40206

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 Nazareth Home, Inc.'s NPI number?

The NPI number for Nazareth Home, Inc. is 1205292893. It was assigned to this organization in the NPPES registry on January 12, 2016. The provider is doing business as Sacred Heart Home Of Louisville.

Where is Nazareth Home, Inc. located?

Nazareth Home, Inc. is located at 2120 Payne St, Louisville, KY 40206. The listed phone number is (502) 595-9425.

What is Nazareth Home, Inc.'s specialty?

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

Does Nazareth Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0714259) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nazareth Home, Inc. was last updated on January 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.