SIGNATURE HEALTHCARE AT SUMMERFIELD REHAB & WELLNESS CENTER
NPI 1720458623
Skilled Nursing Facility in Louisville, KY

NPI Status: Active since October 05, 2015

Contact Information

1877 FARNSLEY RD
LOUISVILLE, KY
ZIP 40216
Phone: (502) 448-8622

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 18D0677247
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About SIGNATURE HEALTHCARE AT SUMMERFIELD REHAB & WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Signature Healthcare At Summerfield Rehab & Wellness Center, a provider established in Louisville, Kentucky operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1720458623 assigned on October 2015. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Signature Healthcare At Summerfield Rehab & Wellness Center. The authorized official of this NPI record is John Harrison (Cfo)

NPI
1720458623
Provider Legal Name
LP LOUISVILLE FARNSLEY ROAD, LLC
Other Organization Name
SIGNATURE HEALTHCARE AT SUMMERFIELD REHAB & WELLNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1877 FARNSLEY RD LOUISVILLE, KY 40216
Location Phone
(502) 448-8622
Mailing Address
12201 BLUEGRASS PKWY LOUISVILLE, KY 40299
Mailing Phone
(502) 568-7800
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-05-2015
Last Update Date
04-04-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN HARRISON

Authorized Official Title
CFO
Authorized Official Phone
(502) 568-7800

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0677247
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MANUEL JR L. BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Signature Healthcare At Summerfield Rehab & Wellness Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SIGNATURE HEALTHCARE AT SUMMERFIELD REHAB & WELLNESS CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720458623
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740851664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 8 + 5 + 1 + 6 + 6 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1720458623 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841289618NEW SUMMERFIELD HEALTH & REHABILITATION CENTER, LLC
Organization
Skilled Nursing Facility1877 FARNSLEY RD
LOUISVILLE, KY 40216
(502) 448-8622
1154960896 ANNA TUCKER MARTIN MSOT, OTR/L
Individual
Occupational Therapist1877 FARNSLEY RD
LOUISVILLE, KY 40216
(502) 448-8622
1982186284 AMELIA L CECIL FNP
Individual
Nurse Practitioner (Family)1877 FARNSLEY RD
LOUISVILLE, KY 40216
(502) 448-8622
1013640804 MACREENA M GROODY M.S. CCC-SLP
Individual
Speech-Language Pathologist1877 FARNSLEY RD
LOUISVILLE, KY 40216
(502) 448-8622
1427546373 BRITTANY D CLUNIE APRN
Individual
Nurse Practitioner (Gerontology)1877 FARNSLEY RD
LOUISVILLE, KY 40216
(502) 448-8622
1891749305 MUHAMMAD BABAR M.D.
Individual
Internal Medicine1877 FARNSLEY RD
LOUISVILLE, KY 40216
(502) 544-8293
1902036825KENTUCKIANA GERIATRIC AND PALLIATIVE SERVICES PLLC
Organization
Internal Medicine (Geriatric Medicine)1877 FARNSLEY RD
LOUISVILLE, KY 40216
(502) 544-8293

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720458623, enumerated in the NPI registry as an "organization" on October 05, 2015

The provider is located at 1877 Farnsley Rd Louisville, Ky 40216 and the phone number is (502) 448-8622

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider's CLIA number is 18D0677247 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 05, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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