COMMONWEALTH OF KENTUCKY (NPI# 1063784197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063784197 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF KENTUCKY |
| Other Organization Name | JOSEPH EDDIE BALLARD WESTERN KENTUCKY VETERANS CENTER |
| Practice Address |
926 Veterans Dr Hanson KY 42413-9401 |
| Practice Telephone | 2703229087 |
| Practice Fax Number | 2703229497 |
| Mailing Telephone | 2703229087 |
| Mailing Fax Number | 2703229497 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2016-03-08 |
| Authorized Official Name | MS. LA DONNA A SCOTT (ADMINISTRATOR) |
| Authorized Official Telephone | 2703229087 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 100978 | KY | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 100978 | KY | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Joseph Eddie Ballard Western Kentucky Veterans Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686900 | Commonwealth of Kentucky | Skilled Nursing Facility | 100 Veterans Drive, Radcliff, KY 40160 | 2015-08-14 |
| 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 |
| 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 |
926 VETERANS DR |
| City | HANSON |
| State | KY |
| Zip Code | 42413-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356569842 | Western Kentucky Veterans Center | Skilled Nursing Facility | 926 Veterans Dr, Hanson, KY 42413-9401 | 2007-04-23 |
| 1124262613 | Sarah Susan Whittington | Nurse Practitioner | 926 Veterans Dr, Hanson, KY 42413-9401 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669557286 | Lawrence E Suess | Psychiatry & Neurology | 7805 N Hanson Rd, Hanson, KY 42413 | 2006-10-25 |
| 1134212715 | Karen Joan Lynn | Speech-Language Pathologist | 393 Fate Lutz Rd, Hanson, KY 42413 | 2006-10-02 |
| 1720617285 | Tammy Barre | Nurse Practitioner | 455 N Livingston St, Hanson, KY 42413-2120 | 2020-04-06 |
| 1306475173 | Amy Diane Davis | Nurse Practitioner | 588 Lily Ln, Hanson, KY 42413-8500 | 2020-04-03 |
| 1164592705 | Robert Cain | Pharmacist | 7455 Hanson Rd, Hanson, KY 42413-9415 | 2006-11-09 |
| 1669766895 | Edward G Frodge | Occupational Therapy Assistant | 7915 Hanson Rd, Hanson, KY 42413-9418 | 2011-06-06 |
| 1255381646 | Hanson Pharmacy and Wellness Center | Durable Medical Equipment & Medical Supplies | 7455 Hanson Rd, Hanson, KY 42413-9481 | 2006-05-10 |
| 1457378879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2006-07-16 |
| 1427658517 | Robin Edward Roach | Pharmacist | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2020-10-28 |
| 1245830660 | Eric Paris | Pharmacist | 420 Factory Outlet Dr, Hanson, KY 42413-9513 | 2020-10-26 |
| Find all providers in zip 42413 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093945511 | Center for Comprehensive Services, Inc | Nursing Facility/Intermediate Care Facility | 148 Stuart Nelson Park Rd, Paducah, KY 42001-9678 | 2009-07-17 |
| 1548402720 | Christian Care Center of Kuttawa, LLC | Nursing Facility/Intermediate Care Facility | 1253 Lake Barkley Drive, Kuttawa, KY 42055-6124 | 2009-04-02 |
| 1912172768 | United Methodist Retirement Community, Inc. | Nursing Facility/Intermediate Care Facility | 1125 Lexington Rd, Wilmore, KY 40390-9641 | 2008-04-23 |
| 1891979886 | Total Long-term Care Solutions, Pllc | Nursing Facility/Intermediate Care Facility | 3623 E Locust Cir, Prospect, KY 40059-9020 | 2007-12-26 |
| 1649484015 | Village of Lebanon II, LLC | Nursing Facility/Intermediate Care Facility | 105 Village Way, Lebanon, KY 40033-1845 | 2007-05-09 |
| 1396962551 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 200 Veterans Dr, Hazard, KY 41701-9484 | 2007-04-19 |
| 1437373636 | Advanced Living, Inc. | Nursing Facility/Intermediate Care Facility | 2121 Argillite Rd, Flatwoods, KY 41139-2615 | 2007-04-12 |
| 1346361193 | Letcher County Golden Years Rest Home | Nursing Facility/Intermediate Care Facility | 53 Wheaton Hollow Road, Jenkins, KY 41537 | 2007-04-02 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| 1700960820 | Mckenzie Health Care, LLC | Nursing Facility/Intermediate Care Facility | 270 E Clayton Ln, Louisa, KY 41230-8622 | 2006-10-25 |
| 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.