HOMESTEADIDENCE OPCO, LLC (NPI# 1114343647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114343647 |
| Entity Type | Organization |
| Organization Name | HOMESTEADIDENCE OPCO, LLC |
| Other Organization Name | HOMESTEAD POST ACUTE |
| Practice Address |
1608 Versailles Rd Lexington KY 40504-2402 |
| Mailing Address |
140 N Union Ave Ste 320 Farmington UT 84025-2956 |
| Practice Telephone | 8592520871 |
| Mailing Telephone | 8014479829 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | MARK HANCOCK (VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 8014479829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100324080 | 05 |
| Other Name | Type Code |
|---|---|
| Homestead Post Acute | Doing Business As Name - Organization |
| Providence Homestead | Doing Business As Name - Organization |
| Street Address |
1608 VERSAILLES RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205065 | Homestead Nursing & Rehab Center | Skilled Nursing Facility | 1608 Versailles Rd, Lexington, KY 40504-2402 | 2005-09-15 |
| 1932765161 | Jennifer Vincent Wertzler | Physical Therapist | 1608 Versailles Rd, Lexington, KY 40504-2402 | 2019-05-13 |
| 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 | 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 |
|---|---|---|---|---|
| 1780114249 | Wellmore of Lexington LLC | Skilled Nursing Facility | 200 Wellmore Drive, Lexington, SC 29072 | 2017-06-18 |
| 1275081325 | Trilogy Healthcare of Fayette II LLC | Skilled Nursing Facility | 2710 Man O War Blvd, Lexington, KY 40515-3801 | 2016-09-19 |
| 1275906588 | Hope Lykins, Slp | Skilled Nursing Facility | 3692 Cottage Cir, Lexington, KY 40513-1106 | 2015-11-09 |
| 1619303013 | Trilogy Healthcare of Fayette IIi, LLC | Skilled Nursing Facility | 1376 Silver Springs Dr, Lexington, KY 40511-2319 | 2013-09-18 |
| 1457614075 | Trilogy Healthcare of Fayette I, LLC | Skilled Nursing Facility | 2531 Old Rosebud Rd, Lexington, KY 40509-4574 | 2012-06-19 |
| 1811192115 | Presbyterian Communities of South Carolina | Skilled Nursing Facility | 700 Davega Dr, Lexington, SC 29073-9698 | 2007-06-18 |
| 1740351733 | Rose Manor Hcf Limited | Skilled Nursing Facility | 3057 N Cleveland Rd, Lexington, KY 40516-9617 | 2006-11-13 |
| 1518050657 | N & R of Pimlico, LLC | Skilled Nursing Facility | 3576 Pimlico Pkwy, Lexington, KY 40517-3700 | 2006-10-02 |
| 1407947773 | N & R of Cambridge LLC | Skilled Nursing Facility | 2020 Cambridge Dr, Lexington, KY 40504-1912 | 2006-09-28 |
| 1962509505 | Golden Age of Lexington, Inc. | Skilled Nursing Facility | 4748 Old Salisbury Rd, Lexington, NC 27295-7827 | 2006-09-17 |
| Find all providers in LEXINGTON | ||||
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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.