DAYBREAK ADULT DAY CENTER
NPI 1720446479
Clinic/Center - Adult Day Care in Louisville, KY

Q: What is Nazareth Home, Inc.'s NPI number?

The NPI number for Nazareth Home, Inc. is 1720446479. It was assigned to this organization in the NPPES registry on February 9, 2016. The provider is doing business as Daybreak Adult Day Center.

Q: What is Nazareth Home, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Active since February 09, 2016CLIA 18D0974343 · Waiver

2120 PAYNE ST, LOUISVILLE, KY 40206(502) 895-9425(502) 357-5549 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Daybreak Adult Day Center NPPES

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

DAYBREAK ADULT DAY CENTER (NPI 1720446479) is a healthcare organization registered as an adult day care in Louisville, Kentucky and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Kevin J Wheatley, Cfo, as its authorized official.

NPPES Registry Identity

NPI1720446479

Entity TypeOrganization

Primary Taxonomy261QA0600X

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

Phone(502) 895-9425

Fax(502) 357-5549

Organization SubpartNo

Authorized OfficialKevin J WheatleyCfo · (502) 459-9681

Enumeration DateFebruary 9, 2016

✔ NPI 1720446479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities

Taxonomy Code261QA0600X

2120 PAYNE ST, Louisville, KY 40206

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Other Names 1

Doing Business AsDaybreak Adult Day Center

Other Identifiers 1

Medicaid750092KY

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 18D0974343

Nazareth Home, Inc D/B/A Nazareth Home Clifton · Louisville, KY

Active · expires Jun 4, 2028

CLIA Number18D0974343

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJune 5, 2026

Certificate Expiration DateJune 4, 2028

Laboratory DirectorMr. Rpbert Cooper

Laboratory Phone(502) 895-9425

Laboratory LocationNazareth Home, Inc D/B/A Nazareth Home Clifton2120 Payne Street, 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.

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.

NAZARETH HOME, INC.

Skilled Nursing Facility