Organization Active NPI

Richmond Kenwood Health & Rehabilitation Complex, LLC

  • Skilled Nursing Facility
  • Richmond, KY
National Provider Identifier
1053300715
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100321 Issued in KY
Legal business name
RICHMOND KENWOOD HEALTH & REHABILITATION COMPLEX, LLC
Doing business as
Richmond Health & Rehabilitation Complex- Kenwood
Practice address
130 Meadowlark Dr
Richmond, KY 40475-2238
Phone
(859) 623-9472
Fax
(859) 625-3069
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Janet Justice
Title
Administrator
Phone
(859) 623-9472

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100321 KY Primary

Addresses

Primary practice location

130 Meadowlark Dr
Richmond, KY 40475-2238

Mailing address

PO Box 9
Richmond, KY 40476-0009
Phone (859) 623-9472

Other names 1

  • Richmond Health & Rehabilitation Complex- Kenwood Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053300715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404760009",
            "telephone_number": "859-623-9472",
            "fax_number": "859-625-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEADOWLARK DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752238",
            "telephone_number": "859-623-9472",
            "fax_number": "859-625-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND KENWOOD HEALTH & REHABILITATION COMPLEX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-623-9472",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond Health & Rehabilitation Complex- Kenwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, 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.

Verify at the official NPI Registry.