NPIMap

Organization Active NPI

Knott County Nursing Home, Inc.

Doing business as Knott County Nursing Home

  • Skilled Nursing Facility
  • Hindman, KY
National Provider Identifier
1003928482
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100495 Issued in KY
Legal business name
KNOTT COUNTY NURSING HOME, INC.
Doing business as
Knott County Nursing Home
Practice address
388 Perkins Madden Rd
Hindman, KY 41822-9003
Phone
(606) 785-5011
Fax
(606) 785-5120
NPI assigned
Aug 31, 2006
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRST CORBIN LONG TERM CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mr. Terry Emanuel Forcht
Title
Chairman
Phone
(606) 528-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100495 KY Primary

Addresses

Primary practice location

388 Perkins Madden Rd
Hindman, KY 41822-9003

Mailing address

388 Perkins Madden Rd
Hindman, KY 41822-9003
Phone (606) 785-5011

Other names 1

  • Knott County Nursing Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020913000007 KY Part A Provider - Skilled Nursing Facility 0749197564 Practice locations: Hindman, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003928482. Details of each certification follow.

Skilled nursing facility certification: CCN 185150

Legal name
KNOTT COUNTY NURSING HOME, INC.
Doing business as
KNOTT COUNTY HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 22, 1978
Last certification
Nov 8, 2024
Beds
92
Ownership / control type
Individual
Organization structure
CorporationProprietary
Incorporated
Jan 2, 1986 in KY
Enrollment address
388 Perkins Madden Rd
Hindman, KY 41822-9003
Nursing home name
KNOTT COUNTY HEALTH & REHABILITATION CENTER
Affiliated entity
SEKY HOLDING CO.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Knott County Health & Rehabilitation CenterCCN 185150 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jun 22, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9282.1 residents per day on average
Chain
Seky Holding Co.9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
18D0648610Knott County Health & Rehab Center388 Perkins Madden Road, Hindman, KY 41822Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
John Dailey Individual Operational/Managerial ControlManager May 16, 2018
Jessica Hall Individual W-2 Managing EmployeeAdministrator Jan 25, 2022
Operational/Managerial ControlAdministrator Jan 25, 2022
Roger Alsip Individual Corporate OfficerTreasurer Jan 1, 2011
Corporate DirectorTreasurer and Director Aug 6, 2018
Christopher Warren Stumbo Individual Contracted Managing EmployeeMD; Feb 1, 2024
David Witt Individual Corporate OfficerSecretary Jun 21, 2011
Corporate DirectorSecretary and Director Aug 6, 2018
Jackie Willis Individual Corporate OfficerAssistant Secretary Jan 1, 2011
Wesley Tipton Individual Corporate OfficerPresident/Chairman May 16, 2018
Corporate DirectorPresident/Chairman and Director Jun 20, 2016
Seky Holding Co Organization, Corbin, KY Corporation, For-profit 5% Or Greater Direct Ownership Interest Mar 13, 2003 100%
Susan Arnold Individual Corporate DirectorDirector Jan 1, 2011 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1003928482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 PERKINS MADDEN RD",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "418229003",
            "telephone_number": "606-785-5011",
            "fax_number": "606-785-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 PERKINS MADDEN RD",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "418229003",
            "telephone_number": "606-785-5011",
            "fax_number": "606-785-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOTT COUNTY NURSING HOME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CORBIN LONG TERM CARE, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "FORCHT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "606-528-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knott County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hindman, KY

Sources for this page

Verify at the official NPI Registry.