THE VILLAGE OF LEBANON, LLC (NPI# 1265515803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265515803 |
| Entity Type | Organization |
| Organization Name | THE VILLAGE OF LEBANON, LLC |
| Other Organization Name | CEDARS OF LEBANON NURSING CENTER |
| Practice Address |
337 S Harrison St Lebanon KY 40033-1150 |
| Practice Telephone | 2706923121 |
| Practice Fax Number | 2706926217 |
| Mailing Telephone | 2706923121 |
| Mailing Fax Number | 2706926217 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-04-25 |
| Authorized Official Name | MR. TIMOTHY BLAND GEORGE (MANAGING MEMBER) |
| Authorized Official Telephone | 5027516823 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100325 | KY | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Cedars of Lebanon Nursing Center | Doing Business As Name - Organization |
| Street Address |
337 S HARRISON ST |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174789010 | Deadra Jeanna Wiegel | Community Health Worker | 337 S Harrison St, Lebanon, KY 40033-1150 | 2008-07-30 |
| 1831351717 | Sarah Grace Coulter | Skilled Nursing Facility | 337 S Harrison St, Lebanon, KY 40033-1150 | 2008-07-01 |
| 1851553739 | Miranda Jo Robbins | Skilled Nursing Facility | 337 S Harrison St, Lebanon, KY 40033-1150 | 2008-07-01 |
| 1144482019 | Kelly Michele Robey | Skilled Nursing Facility | 337 S Harrison St, Lebanon, KY 40033-1150 | 2008-07-01 |
| 1619139763 | Robbie Lee Ramsey | Skilled Nursing Facility | 337 S Harrison St, Lebanon, KY 40033-1150 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| 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 |
|---|---|---|---|---|
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1982094587 | Mindy Walker | Skilled Nursing Facility | 942 Balsam Wood Ln, Lebanon, OH 45036-8528 | 2015-02-03 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| 1922239789 | Genesis Rehab | Skilled Nursing Facility | 847 Kirby Road, Lebanon, OH 45036 | 2009-07-28 |
| 1740443910 | Kindred Nursing Centers East LLC | Skilled Nursing Facility | 700 Monroe Rd, Lebanon, OH 45036-1409 | 2008-07-08 |
| 1093925612 | Cedars Nursing Home Inc. | Skilled Nursing Facility | 932 E Baddour Pkwy, Lebanon, TN 37087-3707 | 2007-05-23 |
| 1851412407 | Ssc Lebanon Operating Company LLC | Skilled Nursing Facility | 731 Castle Heights Ct, Lebanon, TN 37087-2646 | 2007-04-02 |
| 1972634285 | Healthcare Opportunities Inc | Skilled Nursing Facility | 102 E Silver St, Lebanon, OH 45036-1812 | 2007-03-08 |
| 1891874798 | The Good Samaritan Hospital | Skilled Nursing Facility | Fourth and Willow Streets, Lebanon, PA 17042 | 2006-11-03 |
| 1578649703 | Quality Care Investors | Skilled Nursing Facility | 932 Baddour Pkwy, Lebanon, TN 37087 | 2006-10-31 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on THE VILLAGE OF LEBANON, LLC.
| 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.