NPIMap

Organization Active NPI

Corbin Nursing Home, Inc.

Doing business as Corbin Nursing Home

  • Skilled Nursing Facility
  • Corbin, KY
National Provider Identifier
1013029420
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100416 Issued in KY
Legal business name
CORBIN NURSING HOME, INC.
Doing business as
Corbin Nursing Home
Practice address
270 Bacon Creek Rd
Corbin, KY 40701-8640
Phone
(606) 528-8822
Fax
(606) 528-8557
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 100416 KY Primary

Addresses

Primary practice location

270 Bacon Creek Rd
Corbin, KY 40701-8640

Mailing address

PO Box 1190
Corbin, KY 40702-1190
Phone (606) 528-8822

Other identifiers 2

IdentifierTypeStateIssuer
000000054749OtherKYANTHEM BCBS
12502183MedicaidKY

Other names 1

  • Corbin 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
O20020916000006 KY Part A Provider - Skilled Nursing Facility 6901713742 Practice locations: Corbin, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013029420. Details of each certification follow.

Skilled nursing facility certification: CCN 185366

Legal name
CORBIN NURSING HOME, INC.
Doing business as
CORBIN HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 29, 1993
Last certification
Dec 13, 2024
Beds
100
Ownership / control type
Corporation
Multi-facility organization
First Corbin LTC
Organization structure
CorporationProprietary
Incorporated
Aug 27, 1979 in KY
Enrollment address
270 Bacon Creek Rd
Corbin, KY 40701-8640
Nursing home name
CORBIN HEALTH AND REHABILITATION CENTER
Affiliated entity
SEKY HOLDING CO.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Corbin Health and Rehabilitation CenterCCN 185366 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 29, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10089.1 residents per day on average
Chain
Seky Holding Co.9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

270 Bacon Creek Rd
Corbin, KY 40701
Phone (606) 528-8822

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Terry E Forcht Individual 5% Or Greater Indirect Ownership Interest Aug 27, 1979 100%
Lance Maynes Individual W-2 Managing EmployeeAdministrator Dec 20, 2021
Operational/Managerial ControlAdministrator Dec 20, 2021
John Dailey Individual Operational/Managerial ControlManager May 16, 2018
Roger Alsip Individual Corporate OfficerTreasurer Jan 1, 2011
Corporate DirectorTreasurer and Director Aug 6, 2018
Fcltc Holdings Inc Organization, Corbin, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 28, 2016 100%
David Witt Individual Corporate OfficerSecretary Jan 1, 2011
Corporate DirectorSecretary and Director Aug 6, 2018
Steven E Morton Individual Contracted Managing EmployeeMD; Aug 5, 2002
Jackie Willis Individual Corporate OfficerAssistant Secretary Jan 1, 2011
Wesley Tipton Individual Corporate OfficerPresident and Chairman May 16, 2018
Corporate DirectorPresident, Chairman and Director Jun 20, 2018
Seky Holding Co Organization, Corbin, KY Corporation, For-profit 5% Or Greater Direct Ownership Interest Mar 13, 2003 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 2

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 3

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": "1013029420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1190",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021190",
            "telephone_number": "606-528-8822",
            "fax_number": "606-528-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BACON CREEK RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018640",
            "telephone_number": "606-528-8822",
            "fax_number": "606-528-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBIN 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": "100416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000054749",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12502183",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corbin Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.