EVAN GRAY, LLC (NPI# 1326020348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326020348 |
| Entity Type | Organization |
| Organization Name | EVAN GRAY, LLC |
| Other Organization Name | FLORENCE PARK CARE CENTER |
| Practice Address |
6975 Burlington Pike Florence KY 41042-1618 |
| Mailing Address |
12500 Reed Hartman Hwy Suite 200 Cincinnati OH 45241-1892 |
| Practice Telephone | 5136055000 |
| Mailing Telephone | 5136052700 |
| Mailing Fax Number | 5136052731 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | MR. GREG MILLER (CHEIF OPERATING OFFICER) |
| Authorized Official Telephone | 5136052700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100547 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12504312 | 05 |
| Other Name | Type Code |
|---|---|
| Florence Park Care Center | Doing Business As Name - Organization |
| Street Address |
6975 BURLINGTON PIKE |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1487002721 | Richard Barratt | Skilled Nursing Facility | 1000 Cheraw Dr, Florence, SC 29501-5549 | 2016-05-26 |
| 1851785844 | Selena Duff | Skilled Nursing Facility | 2830 Phillips St, Florence, AL 35633-1525 | 2015-03-27 |
| 1942537154 | Florence Ltc, LLC | Skilled Nursing Facility | 450 West Adamsville Road, Florence, AZ 85232 | 2009-11-09 |
| 1427253780 | Presbyterian Communities of South Carolina | Skilled Nursing Facility | 2350 W Lucas St, Florence, SC 29501-1201 | 2007-06-18 |
| 1881748556 | El Reposo Nursing Facility | Skilled Nursing Facility | 260 Milners Chapel Rd, Florence, AL 35634-4757 | 2007-01-22 |
| 1972676104 | Florence Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2107 Cloyd Blvd, Florence, AL 35630-1503 | 2006-11-16 |
| 1053493684 | Palmetto Faith Operating LLC | Skilled Nursing Facility | 617 W Marion St, Florence, SC 29501-2421 | 2006-10-20 |
| 1376656843 | Woodspoint, LLC | Skilled Nursing Facility | 7300 Woodspoint Dr, Florence, KY 41042-1543 | 2006-08-17 |
| 1487692588 | Honorage Nursing Home Center Inc | Skilled Nursing Facility | 1207 N Cashua Dr, Florence, SC 29501-6937 | 2006-06-02 |
| 1790732972 | Beverly Enterprises - Wisconsin, Inc. | Skilled Nursing Facility | 2150 Chapin St, Florence, WI 54121-9384 | 2006-05-31 |
| Find all providers in FLORENCE | ||||
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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.