WILLIAMSBURG NURSING HOME, INC. (NPI# 1750493151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750493151 |
| Entity Type | Organization |
| Organization Name | WILLIAMSBURG NURSING HOME, INC. |
| Other Organization Name | WILLIAMSBURG NURSING HOME |
| Practice Address |
287 N 11th St Williamsburg KY 40769-1759 |
| Mailing Address |
Po Box 719 Williamsburg KY 40769-0719 |
| Practice Telephone | 6065494321 |
| Practice Fax Number | 6065494324 |
| Mailing Telephone | 6065494321 |
| Mailing Fax Number | 6065494324 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | MR. TERRY EMANUEL FORCHT (CHAIRMAN) |
| Authorized Official Telephone | 6065289600 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIRST CORBIN LONG TERM CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100488 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12500344 | 05 | |
| KY | ANTHEM BCBS | 000000054731 | 01 |
| Other Name | Type Code |
|---|---|
| Williamsburg Nursing Home | Doing Business As Name - Organization |
| Street Address |
287 N 11TH ST |
| City | WILLIAMSBURG |
| State | KY |
| Zip Code | 40769-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187498 | Hannah Marie Logan | Speech-Language Pathologist | 287 N 11th St, Williamsburg, KY 40769-1759 | 2020-06-05 |
| 1598255234 | Jeannie Marie Vorbeck | Occupational Therapist | 287 N 11th St, Williamsburg, KY 40769-1759 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1730710724 | Heidi Marie Zwick | Specialist/Technologist | 6790 College Station Drive, Williamsburg, KY 40769 | 2020-01-29 |
| 1841764271 | Dayspring Health Inc | Clinic/Center | 640 West Highway 92, Williamsburg, KY 40769 | 2019-01-18 |
| 1649713728 | William Linscomb | Specialist/Technologist | 207 Circle Ave Apt8, Williamsburg, KY 40769 | 2016-11-22 |
| 1881137883 | Ashley Konrad | Specialist/Technologist | 6790 College Station Dr, Williamsburg, KY 40769 | 2016-11-22 |
| 1053680421 | Michael C Culver | Veterinarian | 319 Tackett Creek Rd, Williamsburg, KY 40769 | 2011-12-14 |
| 1942586060 | Smith and Brown Family Dentistry | Dentist | 821 S Hwy 25w, Williamsburg, KY 40769 | 2011-11-03 |
| 1346537271 | Kayla Fields | Dentist | 640 W Highway 92, Williamsburg, KY 40769 | 2011-06-29 |
| 1407154800 | Jellico Community Hospital, Inc | Nurse Practitioner | 998 South Highway 25w, Willaimsburg, KY 40769 | 2011-03-09 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| Find all providers in zip 40769 | ||||
| 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 |
|---|---|---|---|---|
| 1124206727 | Virginia United Methodist Homes of Williamsburg, Inc. | Skilled Nursing Facility | 3900 Windsor Hall Dr, Williamsburg, VA 23188-2875 | 2008-02-06 |
| 1689698011 | Ruxton Health of Williamsburg, LLC | Skilled Nursing Facility | 1235 S Mount Vernon Ave, Williamsburg, VA 23185-2835 | 2006-07-27 |
| 1073555785 | Sp Williamsburg, LLC | Skilled Nursing Facility | 1811 Jamestown Rd, Williamsburg, VA 23185-2326 | 2006-06-10 |
| 1427054410 | Williamsburg Landing Inc. | Skilled Nursing Facility | 5500 Williamsburg Landing Dr, Williamsburg, VA 23185-8064 | 2005-06-23 |
| 1033689385 | Locust Ridge Healthcare LLC | Skilled Nursing Facility | 12745 Elm Corner Rd, Williamsburg, OH 45176-9621 | 2018-11-29 |
| 1184040693 | Williamsburg Landing Inc | Skilled Nursing Facility | 5700 Williamsburg Landing Dr, Williamsburg, VA 23185-3779 | 2014-03-07 |
| 1558600155 | Kathy Newborg | Skilled Nursing Facility | 1811 Jamestown Rd, Williamsburg, VA 23185-2326 | 2013-02-04 |
| 1497908537 | Envoy of Williamsburg, LLC | Skilled Nursing Facility | 1235 S Mount Vernon Ave, Williamsburg, VA 23185-2835 | 2008-11-03 |
| 1922022128 | Williamsburg Facility Operations, LLC | Skilled Nursing Facility | 1811 Jamestown Rd, Williamsburg, VA 23185-2326 | 2006-07-27 |
| 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 | WILLIAMSBURG |
| Zip Code | 40769 |
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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.