MEDICARE: SAMEHA HOMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251J00000X	Nursing Care Agency
3	385H00000X	Respite Care
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1275487001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMEHA HOMES

Provider Business Mailing Address
First Line	:	1546 BERRY BLVD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40215-1955
Country	:	US
Telephone Number	:	502-536-0423
Fax Number	:

Provider Business Practice Location Address
First Line	:	1546 BERRY BLVD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40215-1955
Country	:	US
Telephone Number	:	502-536-0423
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	SAYBAH GLAY
Credential	:
Telephone Number	:	502-536-0423

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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Directions to “SAMEHA HOMES ” Practice Location

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