Best Care Family Practice LLC
Organization Active NPI Rural Health Clinic/Center · Greensburg, KY
NPI 1003045113 · NPPES record last updated Jan 14, 2024
Key facts
- NPI
- 1003045113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BEST CARE FAMILY PRACTICE LLC
- Practice address
- 704 Columbia Hwy
Greensburg, KY 42743-1118 - Phone
- (270) 932-4284
- Fax
- (270) 932-4285
- NPI assigned
- Jul 9, 2009
- Organization subpart
- No
Authorized official
- Name
- Mrs. Robbyn Grimsley Jewell, ARNP
- Title
- President
- Phone
- (270) 932-4284
Owners & managing parties with NPI records 2
-
Robbyn Grimsley Jewell, ARNP
-
Tony S Jewell, LPCC
Practitioners 3
-
Robbyn Grimsley Jewell, ARNP
-
Heather Marie Smith, APRN
-
Tony S Jewell, LPCC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1103241 | Best Care Family Practice LLC | Certificate of waiver | Aug 4, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
Rural health clinic certification: CCN B03945
- Legal name
- BEST CARE FAMILY PRACTICE LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 28, 2023
- Last certification
- Dec 28, 2023
- Ownership / control type
- 1C
- Organization structure
- LLC · Proprietary
- Enrollment address
- 704 Columbia Hwy
Greensburg, KY 42743-1118
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Robbyn R Jewell |
5% Or Greater Direct Ownership Interest | Jun 25, 2009 | |
| Corporate Officer | Jun 25, 2009 | ||
| Operational/Managerial Control | Jun 25, 2009 | ||
| Tony Jewell |
5% Or Greater Direct Ownership Interest | Jun 25, 2009 | |
| Corporate Officer | Jun 25, 2009 | ||
| Operational/Managerial Control | Jun 25, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090911000432 | KY | Part B Supplier - Clinic/Group Practice | 4385799543 |
Receives reassigned benefits from 3 practitioners Practice locations: Greensburg, KY |
| O20230901001348 | KY | Part a Provider - Rural Health Clinic | 4385799543 | Practice locations: Greensburg, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 17421 | KY | |
| Rural Health Clinic/Center | 261QR1300X | Yes | ||
| Nurse Practitioner |
363L00000X | 5086P | KY |
Addresses
Primary practice location
704 Columbia Hwy
Greensburg, KY 42743-1118
Mailing address
704 Columbia Hwy
Greensburg, KY 42743-1118
Phone (270) 932-4284
Other providers in Greensburg, KY
- Melinda Auberry
- Az Health Services LLC
- Glenda Darlene Bagby
- Heather N Bailey
- Benjamin Bentley
- Baylee Erin Bills
- Pamela A Bills
- Jamie Dawn Blakeman
- Garth Bobrowski
- Whitney R Bobrowski
All providers in Greensburg, KY · Rural Health Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.