FERN TERRACE OF OWENSBORO, LLC (NPI# 1568790665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568790665 |
Entity Type | Organization |
Organization Name | FERN TERRACE OF OWENSBORO, LLC |
Practice Address |
45 Woodford Ave Owensboro KY 42301-0563 |
Mailing Address |
7 Woodford Ave Owensboro KY 42301-0563 |
Practice Telephone | 2706847171 |
Mailing Telephone | 2706835571 |
Enumeration Date | 2009-12-01 |
Last Update Date | 2009-12-01 |
Authorized Official Name | MR. HARRY D SIMPSON JR. (OWNER) |
Authorized Official Telephone | 2706835571 |
Is Organization Subpart | Y |
Parent Organization Name | DAVCO HOMES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 100096 | KY | Nursing & Custodial Care Facilities |
Street Address |
45 WOODFORD AVE |
City | OWENSBORO |
State | KY |
Zip Code | 42301-0563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
Find all providers in zip 42301 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447588629 | Davco Rest Home, LLC | Assisted Living Facility | 2526 W 10th St, Owensboro, KY 42301-1738 | 2009-11-25 |
1326046640 | Wells Health Systems, Inc. | Assisted Living Facility | 3362 Buckland Sq, Owensboro, KY 42301-5829 | 2005-07-11 |
1609987742 | Hbr Owensboro, LLC | Assisted Living Facility | 3362 Buckland Sq, Owensboro, KY 42301-5829 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942814868 | Renaissance Shelbyville Partners 1, LLC | Assisted Living Facility | 156 Haven Hill Rd, Shelbyville, KY 40065-8752 | 2020-09-08 |
1154935617 | Kenton Pointe LLC | Assisted Living Facility | 1455 Kenton Pointe Way, Maysville, KY 41056-1195 | 2020-09-02 |
1508415787 | Snh Derby Tenant LLC | Assisted Living Facility | 690 Mason Headley Rd, Lexington, KY 40504-2384 | 2019-09-10 |
1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
1396302113 | English Station Opco, LLC | Assisted Living Facility | 13700 English Villa Dr, Louisville, KY 40245-3938 | 2019-05-28 |
1194236315 | Arndrea Lasha Gooch | Assisted Living Facility | 502 Breckenridge St, Franklin, KY 42134-1204 | 2017-10-15 |
1366978538 | Regency Memory Care | Assisted Living Facility | 130 Sterling Way, Mount Sterling, KY 40353 | 2017-05-10 |
1588104319 | Morningside of Kentucky, L.p. | Assisted Living Facility | 100 Neighborly Way, Somerset, KY 42503-6147 | 2017-02-27 |
1003363300 | The Lakes of Paducah, LLC | Assisted Living Facility | 2265 Olivet Church Rd, Paducah, KY 42001-9769 | 2016-09-02 |
1184043945 | Gaither Suites At West Park | Assisted Living Facility | 4960 Village Square Dr, Paducah, KY 42001-7490 | 2014-04-09 |
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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.