JELLICO COMMUNITY HOSPITAL, INC


Address: 998 S Highway 25 W, Williamsburg, KY 40769-1692
Phone: 6065491183

JELLICO COMMUNITY HOSPITAL, INC (NPI# 1891952248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891952248
Entity Type Organization
Organization Name JELLICO COMMUNITY HOSPITAL, INC
Other Organization Name CARE PLUS REHAB
Practice Address 998 S Highway 25 W
Williamsburg
KY 40769-1692
Mailing Address 188 Hospital Ln
Jellico
TN 37762-4400
Practice Telephone 6065491183
Practice Fax Number 6065498107
Mailing Telephone 4237841272
Mailing Fax Number 7237841136
Enumeration Date 2008-05-21
Last Update Date 2016-03-10
NPI Deactivation Date 12/06/2011
NPI Reactivation Date 2012-05-22
Authorized Official Name EVELYN GHULAM (CONTROLLER)
Authorized Official Telephone 4237841334
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273Y00000X Rehabilitation Unit Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
KY 01620848 05
TN 0440180 05

Other Provider/Organization Names

Other Name Type Code
Care Plus Rehab Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407154800 Jellico Community Hospital, Inc Nurse Practitioner 998 South Highway 25w, Willaimsburg, KY 40769 2011-03-09
1073898714 Jellico Community Hospital, Inc Clinic/Center 188 Hospital Ln, Jellico, TN 37762-4400 2011-10-13
1548580046 Jellico Community Hospital, Inc Skilled Nursing Facility 188 Hospital Lane, Jellico, TN 37762-4400 2010-06-07

Office Location

Street Address 998 S HIGHWAY 25 W
City WILLIAMSBURG
State KY
Zip Code 40769-1692

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649228438 Robert Lee Penn Family Medicine 998 S Highway 25 W, Williamsburg, KY 40769-1692 2006-05-04
1255813069 Katelyn E Harris Occupational Therapist 998 S Highway 25 W, Williamsburg, KY 40769-1692 2018-08-29
1053891200 William Buck Physical Therapist 998 S Highway 25 W, Williamsburg, KY 40769-1692 2018-08-17
1770090441 Pt Solutions Holdings, LLC Physical Therapist 998 S Highway 25 W, Williamsburg, KY 40769-1692 2018-01-04
1154797538 Careplus Rural Health Clinic, LLC Clinic/Center 998 S Highway 25 W, Suite 1, Williamsburg, KY 40769-1692 2015-08-19
1134200223 Paul C Henson Physician Assistant 998 S Highway 25 W, Suite 1, Williamsburg, KY 40769-1692 2006-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535810 Norvell Family Dentistry Pllc Clinic/Center 821 W. Hwy 25w, Williamsburg, KY 40769 2020-10-15
1730710724 Heidi Marie Zwick Specialist/Technologist 6790 College Station Drive, Williamsburg, KY 40769 2020-01-29
1841764271 Dayspring Health Inc Clinic/Center 640 West Highway 92, Williamsburg, KY 40769 2019-01-18
1649713728 William Linscomb Specialist/Technologist 207 Circle Ave Apt8, Williamsburg, KY 40769 2016-11-22
1881137883 Ashley Konrad Specialist/Technologist 6790 College Station Dr, Williamsburg, KY 40769 2016-11-22
1053680421 Michael C Culver Veterinarian 319 Tackett Creek Rd, Williamsburg, KY 40769 2011-12-14
1942586060 Smith and Brown Family Dentistry Dentist 821 S Hwy 25w, Williamsburg, KY 40769 2011-11-03
1346537271 Kayla Fields Dentist 640 W Highway 92, Williamsburg, KY 40769 2011-06-29
1407154800 Jellico Community Hospital, Inc Nurse Practitioner 998 South Highway 25w, Willaimsburg, KY 40769 2011-03-09
1568614543 Family Health Care Associates of Williamsburg Nurse Practitioner 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 2008-10-21
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Taxonomy Information

Taxonomy Code 273Y00000X
Grouping Hospital Units
Classification Rehabilitation Unit

Taxonomy Definition

In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
Notes: Source: Code of Federal Regulations #42, Section 412.29.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467690891 Sentara Hospitals Rehabilitation Unit 100 Sentara Cir, Williamsburg, VA 23188-5713 2009-01-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689978348 Alliance Physical Therapy Rehabilitation Unit 624 North Masyville Rd, Mount Sterling, KY 40353 2011-01-10
1063543437 Pikeville Independent School Rehabilitation Unit 128 2nd St, Pikeville, KY 41501-3874 2007-03-08
1306888284 Jewish Hospital & St. Mary's Healthcare, Inc. Rehabilitation Unit 2020 Newburg Rd., Louisville, KY 40205-1803 2006-06-12
1497751713 Jewish Hospital & St. Mary's Healthcare, Inc. Rehabilitation Unit 220 Abraham Flexner Way, Louisville, KY 40202-3826 2005-06-22
1356344733 Pro-care Home Health Limited Rehabilitation Unit 122 W Union St, Hartford, KY 42347-1416 2005-05-31
1154965630 Uofl Health-louisville Inc Rehabilitation Unit 220 Abraham Flexner Way, Louisville, KY 40202-3826 2019-10-29
1639711294 Uofl Health-louisville Inc Rehabilitation Unit 200 Abraham Flexner Way, Louisville, KY 40202-2877 2019-10-15
1316391337 Work Is Play Rehabilitation Unit 2400 Windsor Forest Dr, Louisville, KY 40272-2334 2016-04-15
1861886491 Paul Williams Rehabilitation Unit 740 South Limestone, K403, Lexington, KY 40536-0284 2015-03-20
1215244173 Arch Care Consultants Rehabilitation Unit 2847 Ky Highway 3003, Cynthiana, KY 41031-8207 2010-09-13
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Competitor

Search similar providers

City WILLIAMSBURG
Zip Code 40769

Improve Information

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Dataset Information

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.

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