COMMONWEALTH OF KENTUCKY (NPI# 1043686900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043686900 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF KENTUCKY |
| Other Organization Name | RADCLIFF VETERANS CENTER |
| Practice Address |
100 Veterans Drive Radcliff KY 40160 |
| Practice Telephone | 5025649226 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | MR. MARK BOWMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5025649203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Radcliff Veterans Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245657857 | Commonwealth of Kentucky | Clinic/Center | 2441 Us Highway 27, Somerset, KY 42501 | 2014-03-20 |
| 1730329897 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood, 2441 S. Hwy 27, Somerset, KY 42501 | 2009-03-03 |
| 1588804546 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood Dr, 2441 S. Hwy 27, Somersetq, KY 42501 | 2009-03-03 |
| 1770762833 | Commonwealth of Kentucky | Residential Treatment Facility, Physical Disabilities | 5659 Main St, Thelma, KY 41260-8609 | 2007-10-25 |
| 1396962551 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 200 Veterans Dr, Hazard, KY 41701-9484 | 2007-04-19 |
| 1124144456 | Commonwealth of Kentucky | Pharmacy | 2400 Russellville Road, Hopkinsville, KY 42240 | 2007-03-21 |
| 1194862599 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 | 2007-02-01 |
| 1083785125 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 4401-4505 Louise Underwood Way, Louisville, KY 40216 | 2006-11-12 |
| 1689652513 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 210 Meadows Dr, Mt Washington, KY 40047-6013 | 2005-12-30 |
| 1306824230 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 9001 Park Wood Dr, Crestwood, KY 40014-9499 | 2005-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMONWEALTH OF KENTUCKY - DEPARTMENT FOR LOCAL GOVERNMENT | 1024 Capital Center Dr Ste 340, Frankfort, KY 40601-7514 |
| Street Address |
100 VETERANS DRIVE |
| City | RADCLIFF |
| State | KY |
| Zip Code | 40160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487126298 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1080 S Logsdon Parkway, Radcliff, KY 40160 | 2018-12-19 |
| 1184082372 | Marla Sims | Pharmacist | 102 Gateway Crossings, Radcliff, KY 40160 | 2016-02-03 |
| 1861860751 | Positive Wave L.l.c | Massage Therapist | 955 N Wilson Rd, B, Radcliff, KY 40160 | 2015-09-09 |
| 1477982726 | Amanda Schneider | Occupational Therapist | 645 Knox Blvd., Radcliff, KY 40160 | 2013-11-07 |
| 1407130776 | Claire Phillips | Counselor | 1072 S. Dixie Blvd, Radcliff, KY 40160 | 2011-10-05 |
| 1235435736 | Amanda Lacefield | Counselor | 295 W Lincoln Trail Blvd Ste D, Radcliff, KY 40160 | 2011-01-31 |
| 1457594491 | Rehab Resource | Occupational Therapist | 111 N Woodland Dr Ste C, Radcliff, KY 40160 | 2009-04-07 |
| 1649421629 | James K. Burke, Ph.d., P.s.c. | Community/Behavioral Health | 1460 B North Dixie, Radcliff, KY 40160 | 2008-10-08 |
| 1174675763 | Doctors Pllc | General Practice | 111 N Woodland Drive, Radcliff, KY 40160 | 2007-01-17 |
| 1902984305 | Philip Cornette IIi | Dentist | 347 W Lincoln Tr, 1, Radcliff, KY 40160 | 2006-11-02 |
| Find all providers in zip 40160 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104815968 | New North Hardin Health & Rehabilitation Center, LLC | Skilled Nursing Facility | 599 Rogersville Rd, Radcliff, KY 40160-9321 | 2005-10-14 |
| 1427428572 | Lp Radcliff, LLC | Skilled Nursing Facility | 599 Rogersville Rd, Radcliff, KY 40160-9321 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163697 | Providence Point Healthcare, Inc. | Skilled Nursing Facility | 100 Marshall Ct, Paducah, KY 42001-9639 | 2020-10-28 |
| 1366062432 | Exceptional Senior Living-prospect, LLC | Skilled Nursing Facility | 6901 Carslaw Ct, Prospect, KY 40059-8358 | 2020-04-20 |
| 1811527617 | Trilogy Healthcare of Bullitt, LLC | Skilled Nursing Facility | 119 East Sanders Lane, Mt. Washington, KY 40047 | 2020-01-21 |
| 1659856961 | Salyersville Health Operating Company LLC | Skilled Nursing Facility | 662 Parkway Dr, Salyersville, KY 41465-9249 | 2018-10-02 |
| 1104307271 | Boonespring Transitional Care Center, LLC | Skilled Nursing Facility | 10250 Us 42, Union, KY 41091 | 2018-08-27 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1437682309 | Landmark of Lancaster Rehabilitation and Nursing Center | Skilled Nursing Facility | 308 W Maple Ave, Lancaster, KY 40444-1005 | 2017-04-07 |
| 1962954529 | Martin Manor Operations, LLC | Skilled Nursing Facility | 62 Maude Rd., Inez, KY 41224 | 2016-10-31 |
| 1023560661 | Robertson Operations, LLC | Skilled Nursing Facility | Route 2 Hwy 62, Mt. Olivet, KY 41064 | 2016-10-31 |
| 1205386208 | Vanceburg Leasing, LLC | Skilled Nursing Facility | 58 Eastham St, Vanceburg, KY 41179-5462 | 2016-10-13 |
| Find all providers with the same taxonomy | ||||
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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.