CHRISIAN COUNY MANOR LLC (NPI# 1467821769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467821769 |
| Entity Type | Organization |
| Organization Name | CHRISIAN COUNY MANOR LLC |
| Practice Address |
2820 Richard St Hopkinsville KY 42240-1670 |
| Mailing Address |
2820 Richard Street Hopkinsville KY 42240 |
| Practice Telephone | 2708869900 |
| Mailing Telephone | 2708869900 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |
| Authorized Official Name | MARIA MARINEZ (ADMINISTRAOR) |
| Authorized Official Telephone | 2708869900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 100064 | KY | Nursing & Custodial Care Facilities |
| Street Address |
2820 RICHARD ST |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-1670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437379948 | S&r Enterprises Inc. | Custodial Care Facility | 2820 Richard St, Hopkinsville, KY 42240-1670 | 2007-04-26 |
| 1679912125 | Christian County Manor, LLC | Custodial Care Facility | 2820 Richard St, Hopkinsville, KY 42240-1670 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518138502 | Pennyrile Homes | Custodial Care Facility | 502 Noel Ave, Hopkinsville, KY 42240-1361 | 2008-03-18 |
| 1881865863 | Gainesville Manor | Custodial Care Facility | 550 Moores Dr, Hopkinsville, KY 42240 | 2008-03-18 |
| 1942310982 | Covington's Convalescent Center, Inc. | Custodial Care Facility | 115 Cayce St, Hopkinsville, KY 42240-3019 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528518214 | Kat Care L.L.C. | Custodial Care Facility | 310 E Main St Unit B, Richmond, KY 40475-1867 | 2016-10-06 |
| 1659673655 | Modern Care LLC | Custodial Care Facility | 104 Nancy Cox Dr, Suite D, Campbellsville, KY 42718-6834 | 2010-11-23 |
| 1386875656 | Parkside Manor LLC | Custodial Care Facility | 317 Oddville Avenue, Suite B, Cynthiana, KY 41031 | 2009-08-04 |
| 1467683730 | Shady Lawn LLC | Custodial Care Facility | 108 South Miller Street, Cynthianan, KY 41031 | 2009-08-04 |
| 1750507547 | Lewis Memorial, Inc | Custodial Care Facility | 2905 Bowling Green Rd, Franklin, KY 42134-9607 | 2007-04-18 |
| 1811012289 | The Episcopal Church Home, Inc. | Custodial Care Facility | 7504 Westport Road, Louisville, KY 40222 | 2007-03-21 |
| 1912033879 | Alternative Services for Individuals | Custodial Care Facility | 3924 Bardstown Rd, Louisville, KY 40218-2610 | 2007-02-26 |
| 1518954486 | Carmel Manor Inc. | Custodial Care Facility | 100 Carmel Manor Road, Ft. Thomas, KY 41075-2395 | 2005-10-05 |
| 1821081555 | St Charles Care Center Inc | Custodial Care Facility | 600 Farrell Dr, Covington, KY 41011-5126 | 2005-08-29 |
| 1639714843 | Kentucky Custom Care Professionals | Custodial Care Facility | 3200 Patton Rd, Boston, KY 40107-4010 | 2019-11-12 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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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.