COLONIAL TERRACE INTERMEDIATE CARE, INC. (NPI# 1992790802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992790802 |
| Entity Type | Organization |
| Organization Name | COLONIAL TERRACE INTERMEDIATE CARE, INC. |
| Practice Address |
142 Roger Powell Rd Sebree KY 42455-2115 |
| Mailing Address |
725 Harvard Dr Owensboro KY 42301-6185 |
| Practice Telephone | 2708352533 |
| Practice Fax Number | 2708539004 |
| Mailing Telephone | 2709269355 |
| Mailing Fax Number | 2706846283 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | MR. TERRY LYNN SKAGGS (CFO) |
| Authorized Official Telephone | 2709269355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
100440 | KY | Suppliers |
| Y | 314000000X | Skilled Nursing Facility | 100440 | KY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12501789 | 05 |
| Street Address |
142 ROGER POWELL RD |
| City | SEBREE |
| State | KY |
| Zip Code | 42455-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962780809 | Redbanks Colonial Terrace Inc. | Skilled Nursing Facility | 142 Roger Powell Rd, Sebree, KY 42455-2115 | 2011-07-26 |
| 1033365960 | Kimberly Ann Pirtle | Physical Therapy Assistant | 142 Roger Powell Rd, Sebree, KY 42455-2115 | 2008-08-12 |
| 1093971426 | Robin Turner Brown | Occupational Therapy Assistant | 142 Roger Powell Rd, Sebree, KY 42455-2115 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770813495 | Sebree Clinic, LLC | Nurse Practitioner | 7139 Hwy 56 E, Sebree, KY 42455 | 2009-12-31 |
| 1336239383 | Bells Drugs Inc | Pharmacy | 7107 State Route 56 East, Sebree, KY 42455 | 2006-10-13 |
| 1245331214 | Sebree Medical Center | Clinic/Center | 7146 St Rt 56 E, Sebree, KY 42455 | 2006-09-25 |
| 1609330273 | Crystal Cheri Buchanan | Nurse Practitioner | 47 W Webster Street, Sebree, KY 42455 | 2019-01-28 |
| 1306872643 | Marcia A. Polley | Nurse Practitioner | 7139 State Route 56 East, Sebree, KY 42455-0009 | 2006-06-25 |
| 1669429593 | Connie J. Skinner | Nurse Practitioner | 7139 Hwy 56e, Sebree, KY 42455-0009 | 2006-05-27 |
| 1538788443 | Deaconess Clinic, Inc | Nurse Practitioner | 47 W Webster Street, Sebree, KY 42455-0407 | 2020-04-10 |
| 1013192293 | Methodist Health, Inc. | Family Medicine | 47 W. Webster Street, Sebree, KY 42455-0426 | 2008-01-07 |
| 1245349315 | Banpote Poosuthasee | Family Medicine | 47 W.webster Street, Sebree, KY 42455-0426 | 2006-08-30 |
| 1366416885 | Clarissa M Phelps | Family Medicine | 47 W Webster Street, Sebree, KY 42455-0426 | 2006-02-13 |
| Find all providers in zip 42455 | ||||
| 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 |
|---|---|---|---|---|
| 1962780809 | Redbanks Colonial Terrace Inc. | Skilled Nursing Facility | 142 Roger Powell Rd, Sebree, KY 42455-2115 | 2011-07-26 |
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|---|---|---|---|---|
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| 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 |
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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.