COMMONWEALTH OF KENTUCKY


Address: 207 State Ave, Glasgow, KY 42141-1400
Phone: 2706594700

COMMONWEALTH OF KENTUCKY (NPI# 1972506731) 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) 1972506731
Entity Type Organization
Organization Name COMMONWEALTH OF KENTUCKY
Other Organization Name GLASGOW STATE NURSING FACILITY
Practice Address 207 State Ave
Glasgow
KY 42141-1400
Practice Telephone 2706594700
Practice Fax Number 2706511726
Mailing Telephone 2706594700
Mailing Fax Number 2706511726
Enumeration Date 2005-05-24
Last Update Date 2017-06-09
Authorized Official Name MS. AMANDA ALLEN (FACILITY DIRECTOR)
Authorized Official Telephone 2706594707
Is Organization Subpart Y
Parent Organization Name COMMONWEALTH OF KENTUCKY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 100483 KY Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY 12400016 05

Other Provider/Organization Names

Other Name Type Code
Glasgow State Nursing Facility Doing Business As Name - Organization
Glasgow State Nursing Facility Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043686900 Commonwealth of Kentucky Skilled Nursing Facility 100 Veterans Drive, Radcliff, KY 40160 2015-08-14
1245657857 Commonwealth of Kentucky Clinic/Center 2441 Us Highway 27, Somerset, KY 42501 2014-03-20
1730329897 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 400 Eastwood, 2441 S. Hwy 27, Somerset, KY 42501 2009-03-03
1588804546 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 400 Eastwood Dr, 2441 S. Hwy 27, Somersetq, KY 42501 2009-03-03
1770762833 Commonwealth of Kentucky Residential Treatment Facility, Physical Disabilities 5659 Main St, Thelma, KY 41260-8609 2007-10-25
1396962551 Commonwealth of Kentucky Nursing Facility/Intermediate Care Facility 200 Veterans Dr, Hazard, KY 41701-9484 2007-04-19
1124144456 Commonwealth of Kentucky Pharmacy 2400 Russellville Road, Hopkinsville, KY 42240 2007-03-21
1194862599 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 2007-02-01
1083785125 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 4401-4505 Louise Underwood Way, Louisville, KY 40216 2006-11-12
1689652513 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 210 Meadows Dr, Mt Washington, KY 40047-6013 2005-12-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities COMMONWEALTH OF KENTUCKY - DEPARTMENT FOR LOCAL GOVERNMENT 1024 Capital Center Dr Ste 340, Frankfort, KY 40601-7514

Office Location

Street Address 207 STATE AVE
City GLASGOW
State KY
Zip Code 42141-1400

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710505912 Adriene Elizabeth Wilson Nurse Practitioner 310 N. L. Rogers Blvd., Glasgow, KY 42141 2020-07-14
1649896648 Katrina Antonette Casanova Tinoco Student in an Organized Health Care Education/Training Program 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 2020-06-25
1245744630 Town and Country Pharmacy Inc. Durable Medical Equipment & Medical Supplies 742a East Main Street, Glasgow, KY 42141 2017-11-22
1821413022 Russell England Nurse Practitioner 370 Beaver Mound Circle, Glasgow, KY 42141 2014-02-25
1447507439 Rehabcare Skilled Nursing Facility 109homewoodblvd, Glasgow, KY 42141 2012-08-08
1578847778 Alexander Kwadwo Somuah Pharmacist 1001 W. Main St, Glasgow, KY 42141 2011-10-06
1518240522 William David Wiley Pharmacist 1001 West Main St., Glasgow, KS 42141 2011-09-26
1003121732 Teresa Katherine Essex Speech-Language Pathologist 341 Ginger Rd, Glasgow, KY 42141 2010-08-18
1396915468 R David Fant Md Psc Pediatrics 1407 North Race St, Glasgow, KY 42141 2008-03-05
1003021957 Eddy Joe Newberry II Dentist 400 S. Broadway, Glasgow, KY 42141 2007-05-14
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215031836 Glenview Health Care Facility, Inc. Nursing Facility/Intermediate Care Facility 1002 Glenview Dr, Glasgow, KY 42141-3424 2006-09-12

Providers in the same taxonomy and state

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
1649484015 Village of Lebanon II, LLC Nursing Facility/Intermediate Care Facility 105 Village Way, Lebanon, KY 40033-1845 2007-05-09
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
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Competitor

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City GLASGOW
Zip Code 42141

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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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