Active NPI
Warren County Health Care Services, Inc.
- Skilled Nursing Facility
- Bowling Green, KY
National Provider Identifier
1033117403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100405
- Legal business name
- WARREN COUNTY HEALTH CARE SERVICES, INC.
- Practice address
- 2365 Nashville Rd
Bowling Green, KY 42101-4144 - Phone
- (270) 842-1641
- Fax
- (270) 782-9961
- NPI assigned
- Jul 11, 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
- Mr. Terry Lynn Skaggs
- Title
- Cfo
- Phone
- (270) 926-9355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100405 | KY | Primary |
Addresses
Primary practice location
2365 Nashville Rd
Bowling Green, KY 42101-4144
Mailing address
725 Harvard Dr
Owensboro, KY 42301-6185
Phone (270) 926-9355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12501870 | Medicaid | KY | |
| 0230190002 | Other | KY | PART B SUPPLIER |
Other names 1
- Colonial Manor Nursing
National Provider Directory
National Provider Directory- Tax ID family
- Colonial Manor Nursing
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Woodburn, KY
- NPI 1285632653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1033117403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 HARVARD DR",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423016185",
"telephone_number": "270-926-9355",
"fax_number": "270-684-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 NASHVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421014144",
"telephone_number": "270-842-1641",
"fax_number": "270-782-9961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN COUNTY HEALTH CARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SKAGGS",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "270-926-9355",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12501870",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PART B SUPPLIER",
"identifier": "0230190002",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Colonial Manor Nursing",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.