Organization Active NPI

Appalachian Post Acute LLC

  • Skilled Nursing Facility
  • Jackson, KY
National Provider Identifier
1033828124
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
APPALACHIAN POST ACUTE LLC
Practice address
420 Jett Dr
Jackson, KY 41339-9621
Phone
(606) 666-2456
NPI assigned
Nov 17, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kenneth Funk
Title
Manager
Phone
(606) 666-2456

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

420 Jett Dr
Jackson, KY 41339-9621

Mailing address

851 NE 1St Ave Unit 701
Miami, FL 33132-1835

Other names 1

NPPES NPI Registry
  • APPALACHIAN POST ACUTE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2022.

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1033828124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 NE 1ST AVE UNIT 701",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 JETT DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399621",
            "telephone_number": "606-666-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "606-666-2456"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPALACHIAN POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "APPALACHIAN POST ACUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.