VILLAGE OF LEBANON II, LLC (NPI# 1649484015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649484015 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF LEBANON II, LLC |
| Practice Address |
105 Village Way Lebanon KY 40033-1845 |
| Practice Telephone | 2706929000 |
| Practice Fax Number | 2706993691 |
| Mailing Telephone | 2706929000 |
| Mailing Fax Number | 2706993691 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | TIM B GEORGE (MANAGER) |
| Authorized Official Telephone | 5027516823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 100646 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100236520 | 05 |
| Street Address |
105 VILLAGE WAY |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430782 | Whitney Dawn Haws | Physical Therapy Assistant | 105 Village Way, Lebanon, KY 40033-1845 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851423792 | Mitchell Manor Inc | Nursing Facility/Intermediate Care Facility | 152 S College St, Lebanon, TN 37087-3643 | 2007-03-09 |
| 1033569462 | Quality Center for Rehabilitation and Healing | Nursing Facility/Intermediate Care Facility | 932 E Baddour Pkwy, Lebanon, TN 37087-3707 | 2016-06-16 |
| 1649689423 | Cedar Haven Acquisition LLC | Nursing Facility/Intermediate Care Facility | 590 S 5th Ave, Lebanon, PA 17042-9195 | 2014-08-06 |
| 1730424474 | Daviess County Hospital | Nursing Facility/Intermediate Care Facility | 301 W Essex St, Lebanon, IN 46052-1755 | 2012-12-06 |
| 1184819740 | Community Progress Committee Inc. The Pavilion Cpc | Nursing Facility/Intermediate Care Facility | 152 S College St, Lebanon, TN 37087-3643 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093945511 | Center for Comprehensive Services, Inc | Nursing Facility/Intermediate Care Facility | 148 Stuart Nelson Park Rd, Paducah, KY 42001-9678 | 2009-07-17 |
| 1548402720 | Christian Care Center of Kuttawa, LLC | Nursing Facility/Intermediate Care Facility | 1253 Lake Barkley Drive, Kuttawa, KY 42055-6124 | 2009-04-02 |
| 1912172768 | United Methodist Retirement Community, Inc. | Nursing Facility/Intermediate Care Facility | 1125 Lexington Rd, Wilmore, KY 40390-9641 | 2008-04-23 |
| 1891979886 | Total Long-term Care Solutions, Pllc | Nursing Facility/Intermediate Care Facility | 3623 E Locust Cir, Prospect, KY 40059-9020 | 2007-12-26 |
| 1396962551 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 200 Veterans Dr, Hazard, KY 41701-9484 | 2007-04-19 |
| 1437373636 | Advanced Living, Inc. | Nursing Facility/Intermediate Care Facility | 2121 Argillite Rd, Flatwoods, KY 41139-2615 | 2007-04-12 |
| 1346361193 | Letcher County Golden Years Rest Home | Nursing Facility/Intermediate Care Facility | 53 Wheaton Hollow Road, Jenkins, KY 41537 | 2007-04-02 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| 1700960820 | Mckenzie Health Care, LLC | Nursing Facility/Intermediate Care Facility | 270 E Clayton Ln, Louisa, KY 41230-8622 | 2006-10-25 |
| 1952499097 | Darby Square Services,llc | Nursing Facility/Intermediate Care Facility | 2770 Palumbo Dr, Lexington, KY 40509-1232 | 2006-10-11 |
| 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.