MARYHURST INC
NPI 1487540357
Psychiatric Residential Treatment Facility in Louisville, KY

Active since June 16, 2025CLIA 18D2213092 · Waiver
2108 DAVID GRAVES DRIVE, LOUISVILLE, KY 40218(502) 245-1576 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maryhurst Inc NPPES

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

MARYHURST INC (NPI 1487540357) is a healthcare organization registered as a psychiatric residential treatment facility in Louisville, Kentucky and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Jennifer White, Um Manager, as its authorized official.

NPPES Registry Identity

NPI1487540357
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameMARYHURST INC
Location Address2108 DAVID GRAVES DRIVELouisville, KY 40218
Mailing Address1015 Dorsey LnLouisville, KY 40223-2612 · (502) 245-1576
Organization SubpartNo
Authorized OfficialJennifer WhiteUm Manager · (502) 271-4583
Enumeration DateJune 16, 2025
NPPES CertifiedMay 29, 2025
NPI 1487540357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
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
2108 DAVID GRAVES DRIVE, Louisville, KY 40218

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 18D2213092

Maryhurst Inc · Louisville, KY
Active · expires Feb 8, 2027
CLIA Number18D2213092
Laboratory TypeResidential Campus
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorMs. Brittany N. Simmons
Laboratory Phone(502) 550-4688
Laboratory LocationMaryhurst Inc1015 Dorsey Lane, Louisville, KY 40223
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Maryhurst Inc's NPI number?

The NPI number for Maryhurst Inc is 1487540357. It was assigned to this organization in the NPPES registry on June 16, 2025.

Where is Maryhurst Inc located?

Maryhurst Inc is located at 2108 David Graves Drive, Louisville, KY 40218. The listed phone number is (502) 245-1576.

What is Maryhurst Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Maryhurst Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2213092) is associated with this NPI, valid through February 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 Maryhurst Inc was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.