PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC (NPI# 1124015805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124015805 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC |
| Other Organization Name | WESTMINSTER TERRACE |
| Practice Address |
2116 Buechel Bank Rd Louisville KY 40218-3521 |
| Mailing Address |
Po Box 18067 Louisville KY 40261-0067 |
| Practice Telephone | 5022599101 |
| Practice Fax Number | 5022599109 |
| Mailing Telephone | 5022599101 |
| Mailing Fax Number | 5022599109 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | HATTIE WAGNER (CEO/PRESIDENT) |
| Authorized Official Telephone | 5022599101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
101046 | KY | Ambulatory Health Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 100242 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12501904 | 05 | |
| KY | SKILLED NURSING FACILITY LICENSE | 100242 | 01 |
| KY | OUTPATIENT REHABILITATION LICENSE | 101046 | 01 |
| Other Name | Type Code |
|---|---|
| Lumina of Westminster Terrace | Doing Business As Name - Organization |
| Presbyterian Homes of Louisville | Doing Business As Name - Organization |
| Westminster Terrace | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813880 | Presbyterian Homes and Services of Kentucky, Inc | Skilled Nursing Facility | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2005-09-29 |
| 1609092113 | Presbyterian Homes and Services of Kentucky, Inc | Physical Therapist | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2007-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC. | 4109 Bardstown Rd., Suite C, Louisville, KY 40218 |
| Street Address |
2116 BUECHEL BANK RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831644046 | Jenna Curry | Physical Therapy Assistant | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2016-08-17 |
| 1669820825 | John Christian Bates | Physical Therapy Assistant | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2016-05-28 |
| 1396192795 | Jordan D Azinger | Physical Therapy Assistant | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2016-05-16 |
| 1053797951 | Jacob Mattson | Physical Therapy Assistant | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2015-08-03 |
| 1104202001 | Jennifer Paris | Physical Therapy Assistant | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2015-08-03 |
| 1619351632 | Tiffany Chopra | Physical Therapy Assistant | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2015-07-20 |
| 1285016204 | Michelle Miller | Physical Therapy Assistant | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2015-06-25 |
| 1174912117 | Paul Sympson | Physical Therapy Assistant | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2015-01-14 |
| 1811393028 | Saundra Carr | Occupational Therapy Assistant | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2014-11-16 |
| 1609092113 | Presbyterian Homes and Services of Kentucky, Inc | Physical Therapist | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| 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 |
|---|---|---|---|---|
| 1255980876 | Ehcs Oakhill Properties, LLC | Skilled Nursing Facility | 4466 Lynnhaven Ave, Louisville, OH 44641-9513 | 2019-09-06 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1225405475 | Blount County Snf Operations, LLC | Skilled Nursing Facility | 1965 Stewart Lane, Louisville, TN 37777 | 2015-08-24 |
| 1952788408 | Bridgett Powers Mattingly | Skilled Nursing Facility | 117 Weisser Ave, Louisville, KY 40206-2761 | 2015-05-05 |
| 1235527300 | Trilogy Healthcare of Louisville Northeast, LLC | Skilled Nursing Facility | 4120 Wooded Acre Ln, Louisville, KY 40245-2938 | 2014-12-24 |
| 1215330345 | Jonathan Kratzwald | Skilled Nursing Facility | 8206 Happiness Way, Louisville, KY 40291-2865 | 2014-10-03 |
| 1043659626 | Niraj Mathur | Skilled Nursing Facility | 4209 Bridlepath Pl, Louisville, KY 40245-1971 | 2013-06-18 |
| 1235574161 | Balfour Retirement Community of Boulder County | Skilled Nursing Facility | 1855 Plaza Dr., Louisville, CO 80027 | 2013-05-06 |
| 1164703955 | Christian Health Center - West, Inc. | Skilled Nursing Facility | 1015 Magazine St, Louisville, KY 40203-2017 | 2011-09-07 |
| 1801193560 | Trilogy Healthcare of Louisville East, LLC | Skilled Nursing Facility | 4247 Westport Rd, Louisville, KY 40207-2227 | 2011-02-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
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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.