HENDERSON COUNTY HEALTH CARE CORPORATION (NPI# 1194704999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194704999 |
Entity Type | Organization |
Organization Name | HENDERSON COUNTY HEALTH CARE CORPORATION |
Other Organization Name | REDBANKS NURSING HOME |
Practice Address |
851 Kimsey Ln Henderson KY 42420-2665 |
Practice Telephone | 2708266436 |
Practice Fax Number | 2708267953 |
Mailing Telephone | 2708266436 |
Mailing Fax Number | 2708267953 |
Enumeration Date | 2006-01-11 |
Last Update Date | 2014-01-28 |
Authorized Official Name | MR. MARK CHUMBLER (ADMINISTRATOR) |
Authorized Official Telephone | 2708266436 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 100423 | KY | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | ADULT DAY HEALTH CARE | 750171 | 01 |
KY | SALES TAX USAGE NUMBER | D10725 | 01 |
KY | 9000571100 | 05 | |
KY | 12500591 | 05 |
Other Name | Type Code |
---|---|
Redbanks Nursing Home | Doing Business As Name - Organization |
Street Address |
851 KIMSEY LN |
City | HENDERSON |
State | KY |
Zip Code | 42420-2665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528578648 | Sara Nicole Utley | Speech-Language Pathologist | 851 Kimsey Ln, Henderson, KY 42420-2665 | 2017-10-03 |
1982850897 | Carmen R Cusic | Physical Therapist | 851 Kimsey Ln, Henderson, KY 42420-2665 | 2008-08-12 |
1740436559 | Diana Marie Cherry | Physical Therapy Assistant | 851 Kimsey Ln, Henderson, KY 42420-2665 | 2008-08-12 |
1780830695 | Shani Wiggins | Occupational Therapist | 851 Kimsey Ln, Henderson, KY 42420-2665 | 2008-08-12 |
1659527638 | Melissa Dhea Elmore | Physical Therapy Assistant | 851 Kimsey Ln, Henderson, KY 42420-2665 | 2008-08-11 |
1073769063 | Amanda O'rear | Occupational Therapy Assistant | 851 Kimsey Ln, Henderson, KY 42420-2665 | 2008-08-11 |
1881840858 | Lauren Nichole Ball | Occupational Therapy Assistant | 851 Kimsey Ln, Henderson, KY 42420-2665 | 2008-08-11 |
1487800587 | Deborah Ann Hoover | Speech-Language Pathologist | 851 Kimsey Ln, Henderson, KY 42420-2665 | 2008-08-08 |
1447406533 | Linda Kreisle | Physical Therapy Assistant | 851 Kimsey Ln, Henderson, KY 42420-2665 | 2008-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
Find all providers in zip 42420 |
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 |
---|---|---|---|---|
1922491505 | Parkway Recovery Care Center, LLC | Nursing Facility/Intermediate Care Facility | 100 N Green Valley Pkwy, Suite 330, Henderson, NV 89074-6391 | 2015-03-06 |
1669657755 | Eagle Peak Ltc Group, LLC | Nursing Facility/Intermediate Care Facility | 1245 Park Ave, Henderson, NC 27536-4025 | 2008-01-08 |
1134316565 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 1245 Park Ave, Henderson, NC 27536-4025 | 2007-10-01 |
1639282312 | Henderson Health Care Services, Inc. | Nursing Facility/Intermediate Care Facility | 1621 Front St, Henderson, NE 68371-8902 | 2006-08-16 |
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 |
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.