Active NPI
Laurel Housing Inc
- Skilled Nursing Facility
- London, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100280
- Legal business name
- LAUREL HOUSING INC
- Practice address
- 208 W 12TH St
London, KY 40741-1101 - Phone
- (606) 864-4155
- Fax
- (606) 878-6780
- NPI assigned
- Aug 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathey Young
- Title
- Administrator
- Phone
- (606) 864-4155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100280 | KY | Primary |
Addresses
Primary practice location
208 W 12TH St
London, KY 40741-1101
Mailing address
PO Box 1800
London, KY 40743-1800
Phone (606) 864-4155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36130900 | Other | KY | BLACK LUNG |
| 12500815 | Medicaid | KY |
Other names 1
- Laurel Heights Home for the Elderly
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120718000171 | KY | Part A Provider - Skilled Nursing Facility | 7416979836 | Practice locations: London, KY |
Skilled nursing facility certification: CCN 185003
- Legal name
- LAUREL HOUSING INC
- Doing business as
- LAUREL HEIGHTS HOME FOR THE ELDERLY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 1, 1967
- Last certification
- Apr 3, 2025
- Beds
- 160
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 13, 1962 in KY
- Enrollment address
- 208 W 12TH St
London, KY 40741-1101 - Nursing home name
- LAUREL HEIGHTS HOME FOR THE ELDERLY
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Laurel Heights Home for the Elderly
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 160
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jonathan Miller | Adp of the SNF | Nov 1, 2006 | |
| Robert King | Corporate Officer | Apr 10, 2018 | |
| Corporate Director | Apr 10, 2018 | ||
| Trustee of the SNF | Apr 10, 2018 | ||
| Harvey Kuhl | Corporate Director | Apr 4, 1990 | |
| Trustee of the SNF | Apr 4, 1990 | ||
| David Westerfield | Corporate Director | May 9, 2012 | |
| Trustee of the SNF | May 9, 2012 | ||
| Nancy V Morris | Adp of the SNF | Jul 25, 2025 | |
| Kathey Young | Corporate Director | Jan 3, 1996 | |
| Operational/Managerial Control | Jan 16, 1996 | ||
| Adp of the SNF | Jan 16, 1996 | ||
| Jeannie M Hensley | Corporate Director | Feb 28, 2023 | |
| Trustee of the SNF | Feb 28, 2023 | ||
| Sharon Garland | Corporate Director | Apr 10, 2018 | |
| Trustee of the SNF | Apr 10, 2018 | ||
| Tom Houchens | Corporate Officer | Mar 29, 1978 | |
| Corporate Director | Mar 29, 1978 | ||
| Trustee of the SNF | Mar 29, 1978 | ||
| Vicki Blair | Corporate Director | Feb 28, 2023 | |
| Trustee of the SNF | Feb 28, 2023 | ||
| Elmer Cunnagin | Corporate Director | Nov 12, 1981 | |
| Trustee of the SNF | Nov 12, 1981 | ||
| Bridget Dunaway | Corporate Director | Feb 28, 2023 | |
| Trustee of the SNF | Feb 28, 2023 | ||
| Roy Bowling | Corporate Officer | Sep 14, 1978 | |
| Corporate Director | Sep 14, 1978 | ||
| Trustee of the SNF | Sep 14, 1978 | ||
| Carrie a McCowan | Corporate Director | Oct 30, 2009 | |
| Trustee of the SNF | Oct 30, 2009 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Psychiatric/Mental Health Nurse Practitioner
- Corbin, KY
- NPI 1518029727
Corporate Director, Trustee of the SNF
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Corbin, KY
- NPI 1558371427
-
- Family Medicine Physician
- London, KY
- NPI 1073525861
-
- Internal Medicine Physician
- London, KY
- NPI 1770543175
-
- Family Medicine Physician
- London, KY
- NPI 1043232101
Affiliated clinicians 4
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": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769644800000",
"number": "1033110341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1800",
"city": "LONDON",
"state": "KY",
"postal_code": "407431800",
"telephone_number": "606-864-4155",
"fax_number": "606-878-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W 12TH ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411101",
"telephone_number": "606-864-4155",
"fax_number": "606-878-6780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL HOUSING INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "KATHEY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "606-864-4155"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "36130900",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12500815",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMSesMDeMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Laurel Heights Home for the Elderly",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.