SN KENTUCKIANA REHAB, LLC (NPI# 1679038152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679038152 |
| Entity Type | Organization |
| Organization Name | SN KENTUCKIANA REHAB, LLC |
| Practice Address |
190 Shadowmeade Ln Mt Washington KY 40047-6277 |
| Mailing Address |
4714 Gettysburg Rd Mechanicsburg PA 17055-4325 |
| Practice Telephone | 5025382332 |
| Practice Fax Number | 5025382514 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELECT MEDICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| KORT Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809045 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 3509 S Hurstbourne Pkwy, Louisville, KY 40299-1364 | 2020-04-16 |
| 1013558394 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 651 Hamburg Way, Suite 300, Sellersburg, IN 47172 | 2019-10-08 |
| 1942867023 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 12101 Sycamore Station Pl Ste 110, Louisville, KY 40299-2114 | 2019-05-23 |
| 1750846515 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 3 Audubon Plaza Dr Ste 112, Louisville, KY 40217-1300 | 2019-02-06 |
| 1710442520 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 9300 Stonestreet Rd Ste 400, Louisville, KY 40272-2895 | 2019-02-06 |
| 1497228886 | Sn Kentuckiana Rehab, LLC | Occupational Therapy Assistant | 12000 Aiken Rd, Louisville, KY 40243-2413 | 2019-01-08 |
| 1407329899 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 1212 Market St, La Grange, KY 40031-7986 | 2019-01-08 |
| 1326653080 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 4430 Crawford Ave, Louisville, KY 40258-3706 | 2020-09-10 |
| 1053944900 | Sn Kentuckiana Rehab, LLC | Durable Medical Equipment & Medical Supplies | 160 Frankfort Rd, Shelbyville, KY 40065-9433 | 2020-02-19 |
| 1487297495 | Sn Kentuckiana Rehab, LLC | Durable Medical Equipment & Medical Supplies | 6003 Pleasant Colony Ct Ste 3, Crestwood, KY 40014-8679 | 2019-10-22 |
| Street Address |
190 SHADOWMEADE LN |
| City | MT WASHINGTON |
| State | KY |
| Zip Code | 40047-6277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821428491 | Jamie Cox | Physical Therapist | 190 Shadowmeade Ln, Mt Washington, KY 40047-6277 | 2013-11-19 |
| 1912510769 | Meghan Michelle Welle | Physical Therapist | 190 Shadowmeade Ln, Mt Washington, KY 40047-6277 | 2020-08-30 |
| 1033769351 | Taylor Horn | Physical Therapist | 190 Shadowmeade Ln, Mt Washington, KY 40047-6277 | 2019-09-18 |
| 1891268298 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 190 Shadowmeade Ln, Mt Washington, KY 40047-6277 | 2019-01-08 |
| 1114494713 | Lucas Brohm | Physical Therapist | 190 Shadowmeade Ln, Mt Washington, KY 40047-6277 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996971 | Robert Alexander Center, LLC | Substance Abuse Rehabilitation Facility | 130 Hope St, Mt Washington, KY 40047 | 2020-09-14 |
| 1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
| 1811527617 | Trilogy Healthcare of Bullitt, LLC | Skilled Nursing Facility | 119 East Sanders Lane, Mt. Washington, KY 40047 | 2020-01-21 |
| 1912441593 | Molly Ernspiker | Pharmacist | 634 North Bardstown Road, Mount Washington, KY 40047 | 2016-12-15 |
| 1285974352 | Sunrise Children's Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 330 Hope Street, Mt. Washington, KY 40047 | 2013-02-26 |
| 1457695868 | Anjenean Holt | Speech-Language Pathologist | 310 Boxwood Run Rd, Mt. Washington, KY 40047 | 2012-11-26 |
| 1942581715 | Retina Associates, Psc | Technician/Technologist | 10731 Hwy 44 E, Mt Washington, KY 40047 | 2011-09-07 |
| 1831328608 | Deborah L Hargis | Pharmacist | 634 N Bardstown Rd, Mt Washington, KY 40047 | 2009-07-14 |
| 1720244999 | Jason Rodney Wolford | Chiropractor | 138 Eastbrooke Court, Suite 130, Mt. Washington, KY 40047 | 2008-08-06 |
| 1992820849 | Sunrise Children's Services, Inc. | Counselor | 300 Hope Street, Mt. Washington, KY 40047 | 2007-03-20 |
| Find all providers in zip 40047 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477888766 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 234 Eastbrooke Pkwy, Mt Washington, KY 40047-5600 | 2009-10-05 |
| 1053420505 | Rite Aid of Kentucky Inc | Durable Medical Equipment & Medical Supplies | 634 North Bardstown Road, Mt Washington, KY 40047-7640 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029254 | Vizions Mobility LLC | Durable Medical Equipment & Medical Supplies | 14111 Spring Mill Rd, Louisville, KY 40245-7490 | 2020-09-30 |
| 1467066225 | Legacy Oxygen and Home Care Equipment LLC | Durable Medical Equipment & Medical Supplies | 101 Nebo Rd Ste E&f, Madisonville, KY 42431-8896 | 2020-08-31 |
| 1124646633 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1030 Monarch St Ste P1, Lexington, KY 40513-1843 | 2020-07-10 |
| 1043838014 | Restoration Dme Supplies, LLC | Durable Medical Equipment & Medical Supplies | 326 N Mulberry St Ste 105, Elizabethtown, KY 42701-1880 | 2020-07-07 |
| 1366064701 | Dixie Infusion Pharmacy 2, LLC | Durable Medical Equipment & Medical Supplies | 124 N Main St Ste 100, Smiths Grove, KY 42171-8323 | 2020-05-08 |
| 1023630472 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 604 South Fort Thomas Avenue, Fort Thomas, KY 41075 | 2020-05-08 |
| 1902425655 | Mercy LLC | Durable Medical Equipment & Medical Supplies | 501 Darby Creek Rd Ste 5, Lexington, KY 40509-1605 | 2020-04-13 |
| 1538797097 | Amc Health Kentucky Inc | Durable Medical Equipment & Medical Supplies | 8053 Warwick Ave, Louisville, KY 40222-4419 | 2020-03-31 |
| 1477187920 | Ellis & Badenhausen Orthopaedics, Psc | Durable Medical Equipment & Medical Supplies | 6768 Bardstown Rd, Louisville, KY 40291-3048 | 2020-02-24 |
| 1780215202 | Hbg Solutions LLC | Durable Medical Equipment & Medical Supplies | 415 Chinoe Rd, Lexington, KY 40502-2351 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
| City | MT WASHINGTON |
| Zip Code | 40047 |
Please comment or provide details below to improve the information on SN KENTUCKIANA REHAB, 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.