Organization Active NPI

Best Care Family Practice LLC

  • Rural Health Clinic/Center
  • Greensburg, KY
National Provider Identifier
1003045113
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 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
Last updated
Jan 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Robbyn Grimsley Jewell, ARNPNPI 1356490122
Title
President
Phone
(270) 932-4284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 17421 KY
Rural Health Clinic/Center 261QR1300X Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003045113. Details of each certification follow.

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
LLCProprietary
Enrollment address
704 Columbia Hwy
Greensburg, KY 42743-1118

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1103241Best Care Family Practice LLC704 Columbia Hwy, Greensburg, KY 42743Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robbyn R Jewell Individual 5% Or Greater Direct Ownership Interest Jun 25, 2009
Corporate Officer Jun 25, 2009
Operational/Managerial Control Jun 25, 2009
Tony Jewell Individual 5% Or Greater Direct Ownership Interest Jun 25, 2009
Corporate Officer Jun 25, 2009
Operational/Managerial Control Jun 25, 2009

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705190400000",
    "number": "1003045113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 COLUMBIA HWY",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427431118",
            "telephone_number": "270-932-4284",
            "fax_number": "270-932-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 COLUMBIA HWY",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427431118",
            "telephone_number": "270-932-4284",
            "fax_number": "270-932-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST CARE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "ROBBYN",
        "authorized_official_middle_name": "GRIMSLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-932-4284",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "17421",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "5086P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, KY

Sources for this page

Verify at the official NPI Registry.