Organization Active NPI

Presbyterian Homes and Services of Kentucky, Inc.

Doing business as Helmwood Healthcare

  • Skilled Nursing Facility
  • Elizabethtown, KY
National Provider Identifier
1023005709
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100576 Issued in KY
Legal business name
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
Doing business as
Helmwood Healthcare
Practice address
108 Diecks Dr
Elizabethtown, KY 42701-2450
Phone
(502) 259-9101
Fax
(502) 259-9109
NPI assigned
Sep 29, 2005
Last updated
Dec 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Hattie Wagner
Title
Ceo/President
Phone
(502) 259-9101

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 101012 KY
Skilled Nursing Facility 314000000X 101012 KY
Skilled Nursing Facility 314000000X 100576 KY Primary

Addresses

Primary practice location

108 Diecks Dr
Elizabethtown, KY 42701-2450

Mailing address

PO Box 18067
Louisville, KY 40261-0067
Phone (502) 259-9101

Other names 1

  • Helmwood Healthcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1023005709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18067",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402610067",
            "telephone_number": "502-259-9101",
            "fax_number": "502-259-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012450",
            "telephone_number": "502-259-9101",
            "fax_number": "502-259-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "HATTIE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "502-259-9101"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "KY",
            "license": "101012",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "101012",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helmwood Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.