# MERCY SACRED HEART, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sacred Heart Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518954114
- **Authorized official:** MR. WILLIAM ROBERT LEE CPA (CFO)
- **Authorized official phone:** (502) 357-5534

## Contact information

- **Practice address:** 2120 PAYNE ST, LOUISVILLE, KY 40206-2012
- **Practice address phone:** (502) 895-9425
- **Practice address fax:** (502) 894-9619
- **Mailing address:** 2120 PAYNE ST, LOUISVILLE, KY 40206-2012
- **Mailing address phone:** (502) 895-9425
- **Mailing address fax:** (502) 894-9619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100248 | KY | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 09/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12504452 | — | KY |
| 05 | — | 43012566 | — | KY |