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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 01620848 | 05 | |
TN | 0440180 | 05 |
Other Name | Type Code |
---|---|
Care Plus Rehab | Doing Business As Name - Organization |
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 |
Street Address |
998 S HIGHWAY 25 W |
City | WILLIAMSBURG |
State | KY |
Zip Code | 40769-1692 |
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 |
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 |
Find all providers in zip 40769 |
Taxonomy Code | 273Y00000X |
Grouping | Hospital Units |
Classification | Rehabilitation Unit |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467690891 | Sentara Hospitals | Rehabilitation Unit | 100 Sentara Cir, Williamsburg, VA 23188-5713 | 2009-01-22 |
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 |
Find all providers with the same taxonomy |
City | WILLIAMSBURG |
Zip Code | 40769 |
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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.