HOMESTEAD NURSING & REHAB CENTER (NPI# 1043205065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043205065 |
| Entity Type | Organization |
| Organization Name | HOMESTEAD NURSING & REHAB CENTER |
| Practice Address |
1608 Versailles Rd Lexington KY 40504-2402 |
| Practice Telephone | 8592520871 |
| Practice Fax Number | 8593899571 |
| Mailing Telephone | 8592520871 |
| Mailing Fax Number | 8593899571 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DENISE N/A COOLEY (LPN-ADMISSION COORDINATOR) |
| Authorized Official Telephone | 8592520871 |
| Authorized Official Credential | LPN-AC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
========= | KY | Nursing & Custodial Care Facilities |
| Street Address |
1608 VERSAILLES RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932765161 | Jennifer Vincent Wertzler | Physical Therapist | 1608 Versailles Rd, Lexington, KY 40504-2402 | 2019-05-13 |
| 1114343647 | Homesteadidence Opco, LLC | Skilled Nursing Facility | 1608 Versailles Rd, Lexington, KY 40504-2402 | 2014-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1356528699 | Children's Health First | Skilled Nursing Facility | 1444 Woodbridge Trl, Owensboro, KY 42303-7546 | 2008-01-29 |
| 1114052057 | Kyppec,inc | Skilled Nursing Facility | 1101 Herr Ln, Louisville, KY 40222-4301 | 2007-02-22 |
| 1023007648 | Ridgeway Nursing & Rehabilitation Facility LLC | Skilled Nursing Facility | 406 Wyoming Road, Owingsville, KY 40360-8842 | 2005-10-17 |
| 1356687222 | The Kidz Club- St Pete,llc | Skilled Nursing Facility | 1101 Herr Ln, Louisville, KY 40222-4301 | 2012-12-21 |
| 1417209073 | Suzann Kay Grigsby | Skilled Nursing Facility | 303 N Hurstbourne Pkwy, Suite 200, Louisville, KY 40222-5185 | 2012-10-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.