PACER MANAGEMENT OF KENTUCKY LLC (NPI# 1528205960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528205960 |
| Entity Type | Organization |
| Organization Name | PACER MANAGEMENT OF KENTUCKY LLC |
| Other Organization Name | KNOX COUNTY HOSPITAL SNF |
| Practice Address |
80 Hospital Dr Barbourville KY 40906-7363 |
| Practice Telephone | 6065464175 |
| Practice Fax Number | 6065455511 |
| Mailing Telephone | 6065464175 |
| Mailing Fax Number | 6065455511 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Authorized Official Name | MRS. KRIS PARTIN (CEO) |
| Authorized Official Telephone | 6065464175 |
| Is Organization Subpart | Y |
| Parent Organization Name | PACER HEALTH MANAGEMENT CORPORATION OF KENTUCKY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100721 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12504767 | 05 |
| Other Name | Type Code |
|---|---|
| Knox County Hospital SNF | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982841201 | Pacer Management of Kentucky LLC | Rehabilitation Unit | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2009-01-08 |
| 1427201177 | Pacer Management of Kentucky LLC | Nurse Practitioner | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2008-10-28 |
| Street Address |
80 HOSPITAL DR |
| City | BARBOURVILLE |
| State | KY |
| Zip Code | 40906-7363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649822651 | Vickie Renee Carnes | Occupational Therapist | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2019-07-10 |
| 1467004424 | John Jarred Feltner | Physical Therapy Assistant | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2019-07-10 |
| 1114580370 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2019-04-15 |
| 1184156036 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2017-03-30 |
| 1003357393 | Arh Mary Breckinridge Health Services, Inc. | Clinic/Center | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2017-03-20 |
| 1699215145 | Samantha Corey | Nurse Practitioner | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2017-03-02 |
| 1053863118 | Mary Breckenridge Arh Hospital | General Acute Care Hospital | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2016-10-25 |
| 1316301567 | Lynn Medlin | Occupational Therapist | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2016-04-13 |
| 1982079653 | Arh Mary Breckinridge Health Services, Inc. | Clinical Medical Laboratory | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2015-12-07 |
| 1295106219 | Arh Mary Breckinridge Health Services, Inc. | Medicare Defined Swing Bed Unit | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2015-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187334 | Barbourville Prescription Center, LLC | Pharmacy | 1881 South U.S. Highway 25e, Barbourville, KY 40906 | 2020-02-28 |
| 1992368617 | Carolyn Disney Byble | Counselor | 1909 Hwy. 3439, Barbourville, KY 40906 | 2019-04-18 |
| 1386139111 | Amy Lynn Mills | Adult Companion | 12 Knox Plaza, Barbourville, KY 40906 | 2018-06-25 |
| 1457858250 | Angela Turner | Nurse Practitioner | 1927 Us S Hwy 25e, Barbourville, KY 40906 | 2018-04-09 |
| 1376049437 | Kalee Elizabeth Howard | Case Manager/Care Coordinator | 415 Highway 225, Barbourville, KY 40906 | 2018-04-05 |
| 1063949303 | Robin Renee Carr | Counselor | 415 Ky Hwy 225, Barbourville, KY 40906 | 2017-05-17 |
| 1770940736 | Jennifer Nicole James | Case Manager/Care Coordinator | 415 Ky 225, Barbourville, KY 40906 | 2016-01-21 |
| 1891116455 | Glenna Bargo | Nurse Practitioner | 728 S Us Highway 25e Loop Number 2, Loop Number 2, Barbourville, KY 40906 | 2013-12-30 |
| 1275883050 | Brian Keith Abner | Physician Assistant | 215 North Allison Avenue, Barbourville, KY 40906 | 2012-09-19 |
| 1558660944 | Sleep Diagnostics of Kentucky, Inc | Clinic/Center | 606a Knox Street, Barbourville, KY 40906 | 2011-03-24 |
| Find all providers in zip 40906 | ||||
| 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 |
|---|---|---|---|---|
| 1578675963 | Barbourville Nursing Home, Inc. | Skilled Nursing Facility | 117 Shelby St, Barbourville, KY 40906-1623 | 2006-08-31 |
| 1356691406 | Knox Hospital Corporation | Skilled Nursing Facility | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2012-09-17 |
| 1326190323 | Pacer Health Management Corporation of Kentucky | Skilled Nursing Facility | 80 Hospital Dr, Barbourville, KY 40906-7363 | 2007-01-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BARBOURVILLE |
| Zip Code | 40906 |
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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.