PARKSIDE MANOR LLC (NPI# 1386875656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386875656 |
| Entity Type | Organization |
| Organization Name | PARKSIDE MANOR LLC |
| Practice Address |
317 Oddville Avenue Suite B Cynthiana KY 41031 |
| Practice Telephone | 8592344430 |
| Practice Fax Number | 8592344438 |
| Mailing Telephone | 8592344430 |
| Mailing Fax Number | 8592344438 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |
| Authorized Official Name | MRS. KELLI LYNN BAILEY (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 8592344430 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 100168 | KY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457917247 | Parkside Manor LLC | Assisted Living Facility | 300 S Saint Charles St, Bowling Green, MO 63334-2221 | 2019-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PARKSIDE MANOR LLC | 25 Andrews Avenue, Falmouth, ME 04105 |
| Street Address |
317 ODDVILLE AVENUE SUITE B |
| City | CYNTHIANA |
| State | KY |
| Zip Code | 41031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588105183 | Suelynn Carter | Peer Specialist | 257 Parkland Heighgts, Cynthiana, KY 41031 | 2017-03-15 |
| 1467683730 | Shady Lawn LLC | Custodial Care Facility | 108 South Miller Street, Cynthianan, KY 41031 | 2009-08-04 |
| 1326239369 | Wedco District Health Department | Public Health or Welfare | 2415 U.s 27 North, Cynthiana, KY 41031 | 2007-08-06 |
| 1134329881 | Janet Olson | Licensed Practical Nurse | 2207 Shadynook Pike, Cynthiana, KY 41031 | 2007-07-20 |
| 1992836498 | Wal-mart Stores East, L.p. | Technician/Technologist | 805 Us 275, Cynthiana, KY 41031 | 2007-03-08 |
| 1760526909 | Urologic Associates Cynthiana | Specialist | 1210 Kentukcy Hwy 36 E, Cynthiana, KY 41031 | 2007-02-19 |
| 1376684571 | David Allen Shadd II | Psychologist | 111 North Main St., Cynthiana, KY 41031 | 2007-02-09 |
| 1265588990 | Womens Health Clinic of Cynthiana | Obstetrics & Gynecology | 1210 Ky Hwy 36 East, Suite G4, Cynthiana, KY 41031 | 2007-01-26 |
| 1578646204 | Julian Valenton Castillo Jr. | General Practice | 1210 Ky Hwy 36e G1, Cynthiana, KY 41031 | 2006-10-24 |
| 1932289139 | Frank Monroe Henson | Spec/Tech, Pathology | 469 West Pleasant Street, Cynthiana, KY 41031 | 2006-10-16 |
| Find all providers in zip 41031 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528518214 | Kat Care L.L.C. | Custodial Care Facility | 310 E Main St Unit B, Richmond, KY 40475-1867 | 2016-10-06 |
| 1659673655 | Modern Care LLC | Custodial Care Facility | 104 Nancy Cox Dr, Suite D, Campbellsville, KY 42718-6834 | 2010-11-23 |
| 1467683730 | Shady Lawn LLC | Custodial Care Facility | 108 South Miller Street, Cynthianan, KY 41031 | 2009-08-04 |
| 1518138502 | Pennyrile Homes | Custodial Care Facility | 502 Noel Ave, Hopkinsville, KY 42240-1361 | 2008-03-18 |
| 1881865863 | Gainesville Manor | Custodial Care Facility | 550 Moores Dr, Hopkinsville, KY 42240 | 2008-03-18 |
| 1750507547 | Lewis Memorial, Inc | Custodial Care Facility | 2905 Bowling Green Rd, Franklin, KY 42134-9607 | 2007-04-18 |
| 1811012289 | The Episcopal Church Home, Inc. | Custodial Care Facility | 7504 Westport Road, Louisville, KY 40222 | 2007-03-21 |
| 1912033879 | Alternative Services for Individuals | Custodial Care Facility | 3924 Bardstown Rd, Louisville, KY 40218-2610 | 2007-02-26 |
| 1942310982 | Covington's Convalescent Center, Inc. | Custodial Care Facility | 115 Cayce St, Hopkinsville, KY 42240-3019 | 2006-08-30 |
| 1518954486 | Carmel Manor Inc. | Custodial Care Facility | 100 Carmel Manor Road, Ft. Thomas, KY 41075-2395 | 2005-10-05 |
| 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.