PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC (NPI# 1104813880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104813880 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC |
| Other Organization Name | GOOD SHEPHERD HEALTH |
| Practice Address |
60 Phillips Branch Rd Phelps KY 41553-9061 |
| Mailing Address |
Po Box 18067 Louisville KY 40261-0067 |
| Practice Telephone | 5022599101 |
| Practice Fax Number | 5022599109 |
| Mailing Telephone | 5022599101 |
| Mailing Fax Number | 5022599109 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | HATTIE WAGNER (CEO/PRESIDENT) |
| Authorized Official Telephone | 5022599101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100516 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12504080 | 05 |
| Other Name | Type Code |
|---|---|
| Good Shepherd Community Nursing Center | Doing Business As Name - Organization |
| Good Shepherd Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124015805 | Presbyterian Homes and Services of Kentucky, Inc | Clinic/Center | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2005-09-29 |
| 1609092113 | Presbyterian Homes and Services of Kentucky, Inc | Physical Therapist | 2116 Buechel Bank Rd, Louisville, KY 40218-3521 | 2007-04-17 |
| Street Address |
60 PHILLIPS BRANCH RD |
| City | PHELPS |
| State | KY |
| Zip Code | 41553-9061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252672 | Alexis Briona Hayes | Nurse Practitioner | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2020-10-12 |
| 1477101889 | Phelps Ky Opco LLC | Skilled Nursing Facility | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2019-08-28 |
| 1013361088 | Jennifer Cole Chapman | Physical Therapist | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2016-04-15 |
| 1790179240 | Paula Little | Occupational Therapist | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2015-03-23 |
| 1477941268 | James Donith Sanders X | Speech-Language Pathologist | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2014-12-31 |
| 1740688332 | Misty Dawn Collins | Occupational Therapy Assistant | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2014-12-12 |
| 1851798300 | Rhonda Whitt | Physical Therapy Assistant | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2014-11-28 |
| 1013164045 | Daryll Hamilton | Occupational Therapist | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2008-08-21 |
| 1184888786 | Lee Ingal Restar | Physical Therapist | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2008-07-12 |
| 1740443787 | Kyla Ann Burke | Physical Therapy Assistant | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2008-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386894905 | Pike County Health Department Phelps High | Public Health or Welfare | 11580 Hwy 632, Phelps, KY 41553 | 2008-09-19 |
| 1376793992 | Pike County Health Department Phelps Elementary | Public Health or Welfare | 38029 St Hwy 194 East, Phelps, KY 41553 | 2008-09-19 |
| 1639205735 | Pike County Health Department Phelps | Public Health or Welfare | 38217 State Hwy 194e, Phelps, KY 41553 | 2007-02-26 |
| 1528073111 | Citizens Drug Inc | Pharmacy | 13380 Phelps 632 Rd, Phelps, KY 41553 | 2006-07-30 |
| 1831703867 | Henrietta Lynn Sullivan | Technician | 167 Billy Dotson Br, Phelps, KY 41553-8514 | 2020-09-08 |
| 1083262349 | Lawanna Lanae Mcguire | Nurse Practitioner | 76 Church Br, Phelps, KY 41553-8553 | 2019-08-29 |
| 1124084488 | Hilltop Primary Care, Inc | Clinical Medical Laboratory | 7617 Upper Johns Creek Rd, Suite 100, Phelps, KY 41553-8775 | 2006-04-25 |
| 1043848468 | Ashley Brook Charles | Nurse Practitioner | 7617 Upper Johns Creek Rd, Phelps, KY 41553-8775 | 2020-03-31 |
| 1134186612 | Geraline Hatfield | Nurse Practitioner | 7617 Upper Johns Creek Rd, Suite 100, Phelps, KY 41553-8775 | 2006-04-27 |
| 1518046994 | Mansoor Mahmood | Internal Medicine | 48 Phillips Branch Rd, Box 1085, Phelps, KY 41553-9061 | 2006-11-04 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336136928 | Aspirus Extended Services, Inc. | Skilled Nursing Facility | 2383 State Highway 17, Phelps, WI 54454-9472 | 2005-09-29 |
| 1477101889 | Phelps Ky Opco LLC | Skilled Nursing Facility | 60 Phillips Branch Rd, Phelps, KY 41553-9061 | 2019-08-28 |
| 1497892756 | Aspirus Lillian Kerr Healthcare Center | Skilled Nursing Facility | 2383 State Highway 17, Phelps, WI 54554-9472 | 2007-01-30 |
| 1609913904 | Aspirus Lillian Kerr Healthcare Center | Skilled Nursing Facility | 2383 State Highway 17, Phelps, WI 54554-9472 | 2007-01-30 |
| 1780720326 | Aspirus Lillian Kerr Healthcare Center | Skilled Nursing Facility | 2383 State Highway 17, Phelps, WI 54554-9472 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163697 | Providence Point Healthcare, Inc. | Skilled Nursing Facility | 100 Marshall Ct, Paducah, KY 42001-9639 | 2020-10-28 |
| 1366062432 | Exceptional Senior Living-prospect, LLC | Skilled Nursing Facility | 6901 Carslaw Ct, Prospect, KY 40059-8358 | 2020-04-20 |
| 1811527617 | Trilogy Healthcare of Bullitt, LLC | Skilled Nursing Facility | 119 East Sanders Lane, Mt. Washington, KY 40047 | 2020-01-21 |
| 1659856961 | Salyersville Health Operating Company LLC | Skilled Nursing Facility | 662 Parkway Dr, Salyersville, KY 41465-9249 | 2018-10-02 |
| 1104307271 | Boonespring Transitional Care Center, LLC | Skilled Nursing Facility | 10250 Us 42, Union, KY 41091 | 2018-08-27 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1437682309 | Landmark of Lancaster Rehabilitation and Nursing Center | Skilled Nursing Facility | 308 W Maple Ave, Lancaster, KY 40444-1005 | 2017-04-07 |
| 1962954529 | Martin Manor Operations, LLC | Skilled Nursing Facility | 62 Maude Rd., Inez, KY 41224 | 2016-10-31 |
| 1023560661 | Robertson Operations, LLC | Skilled Nursing Facility | Route 2 Hwy 62, Mt. Olivet, KY 41064 | 2016-10-31 |
| 1205386208 | Vanceburg Leasing, LLC | Skilled Nursing Facility | 58 Eastham St, Vanceburg, KY 41179-5462 | 2016-10-13 |
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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.