COMMONWEALTH OF KENTUCKY (NPI# 1356764559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356764559 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF KENTUCKY |
| Other Organization Name | EASTERN STATE HOSPITAL LONG TERM CARE/ACQUIRED BRAIN INJURY (LTC/ABI) |
| Practice Address |
1350 Bull Lea Rd Lexington KY 40511-1247 |
| Practice Telephone | 8592468000 |
| Practice Fax Number | 8592468043 |
| Mailing Telephone | 8592468000 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | MS. WENDY T MORRIS (DEPUTY COMMISSIONER) |
| Authorized Official Telephone | 5025644860 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONWEALTH OF KENTUCKY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 101245 | KY | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100344920 | 05 |
| Other Name | Type Code |
|---|---|
| Eastern State Hospital Long Term Care/Acquired Brain Injury (LTC/ABI) | 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 |
1350 BULL LEA RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40511-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922067677 | Jinny Rae Woodcock | Registered Nurse | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2006-03-21 |
| 1043822810 | Caitlin Crowder | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2020-08-21 |
| 1811508849 | Charley Renee Saleeby | Nurse Practitioner | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2020-08-13 |
| 1841843844 | Katibeth Sharp | Psychologist | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2019-07-18 |
| 1508320078 | Haley Herndon | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2019-01-29 |
| 1730607722 | Thomas J Shaddix | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2017-08-30 |
| 1790200525 | Paige Kelly Juettner | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2017-08-14 |
| 1972054443 | Commonwealth of Kentucky | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2016-10-20 |
| 1326599895 | Commonwealth of Kentucky | Nurse Practitioner | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2016-10-20 |
| 1750831574 | Lauren M Greenman | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278915 | Amy H Ward | Counselor | 1382 Bull Lea Road, Lexington, KY 40511 | 2019-01-03 |
| 1295233104 | Coventry Oak Elementary School | Public Health or Welfare | 2441 Huntly Place, Lexington, KY 40511 | 2018-01-25 |
| 1881192789 | The Stables (school) | Public Health or Welfare | 4089 Iron Works Pike, Lexington, KY 40511 | 2018-01-25 |
| 1124526033 | Garrett Morgan Elementary School | Public Health or Welfare | 1150 Passage Mound Way, Lexington, KY 40511 | 2018-01-25 |
| 1760903520 | Taylor Bowman | Optometrist | 2500 Leestown Road, Lexington, KY 40511 | 2017-07-03 |
| 1982134409 | Amy Beth Powers | Counselor | 455 Park Place, Suite 130, Lexington, KY 40511 | 2017-06-18 |
| 1336695196 | Life Navigation Services, LLC | Community/Behavioral Health | 348 Mcconnells Trace #102, Lexington, KY 40511 | 2016-08-31 |
| 1730545989 | Delmetria Cayson Combs | Counselor | 1374 Bull Lea Road, Lexington, KY 40511 | 2016-01-04 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1346500766 | Rachel Elaine Clark | Counselor | 1351 Newtown Pike, Bldg 4, Lexington, KY 40511 | 2012-05-18 |
| Find all providers in zip 40511 | ||||
| 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.