MID-SOUTH NURSING HOMES, INC (NPI# 1861612681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861612681 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH NURSING HOMES, INC |
| Other Organization Name | PINECREST MANOR |
| Practice Address |
950 Highpoint Dr Hopkinsville KY 42240-2570 |
| Mailing Address |
602 Courtland St Suite 200 Orlando FL 32804-1360 |
| Practice Telephone | 2708851151 |
| Practice Fax Number | 2708857461 |
| Mailing Telephone | 4079753000 |
| Mailing Fax Number | 4079753090 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONALD M WEHTJE (VP CFO) |
| Authorized Official Telephone | 4079753010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 100070 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12500153 | 05 | |
| KY | 90003997 | 05 |
| Other Name | Type Code |
|---|---|
| Pinecrest Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447478862 | Mid-south Nursing Homes, Inc | Skilled Nursing Facility | 301 Huguley Blvd, Burleson, TX 76028-7506 | 2007-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | MID-SOUTH NURSING HOMES, INC. | 602 Courtland St, Ste 200, Orlando, FL 32804 |
| Street Address |
950 HIGHPOINT DR |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-2570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093720880 | Bradford Heights Health & Rehab Center, Inc. | Durable Medical Equipment & Medical Supplies | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 | 2006-07-30 |
| 1982246237 | Amber Winters | Nurse Practitioner | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 | 2019-10-08 |
| 1801446323 | Hopkinsville Ky Opco LLC | Respite Care | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 | 2019-09-17 |
| 1538657648 | Bradford Heights Opco LLC | Skilled Nursing Facility | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 | 2018-04-24 |
| 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 | 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 |
|---|---|---|---|---|
| 1801160213 | Delta Flex Travel Co | Skilled Nursing Facility | 4305 Harmony Grove Rd, Hopkinsville, KY 42240-8626 | 2012-03-02 |
| 1538657648 | Bradford Heights Opco LLC | Skilled Nursing Facility | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 | 2018-04-24 |
| 1689711806 | Christian Care Communities, Inc. | Skilled Nursing Facility | 200 Sterling Dr, Hopkinsville, KY 42240-1567 | 2007-01-30 |
| 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 | 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.