Organization Active NPI

Pineville Medical Center, LLC

  • Home Health Agency
  • Pineville, KY
National Provider Identifier
1003306598
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PINEVILLE MEDICAL CENTER, LLC
Practice address
121 W Virginia Ave
Pineville, KY 40977-1661
Phone
(606) 337-7205
Fax
(606) 337-7898
NPI assigned
May 10, 2018
Organization subpart
Yes
Parent organization
PINEVILLE MEDICAL CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Kevin Couch
Title
Controller
Phone
(606) 337-3051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

121 W Virginia Ave
Pineville, KY 40977-1661

Mailing address

850 Riverview Ave
Pineville, KY 40977-1452
Phone (606) 337-3051

Other names 1

  • Southeastern KY Home Health Agency Doing business as

National Provider Directory

National Provider Directory
Part of
Pineville Medical Center LLC

Locations

121 W Virginia Ave
Ste 119
Pineville, KY 40977
Phone (606) 337-2381

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1003306598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771452",
            "telephone_number": "606-337-3051",
            "fax_number": "606-337-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W VIRGINIA AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771661",
            "telephone_number": "606-337-7205",
            "fax_number": "606-337-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINEVILLE MEDICAL CENTER, LLC",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "606-337-3051"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern KY Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.