Hanging Rock LTC, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100518 Issued in KY

Legal business name

HANGING ROCK LTC, LLC

Practice address

9600 Lamborne Blvd
Louisville, KY 40272-2505

Phone

(502) 935-7284

Fax

(502) 933-5977

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Gale Boice

Title

Cfo

Phone

(252) 523-9094

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Essex Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Osawaru Jude Omoruyi, M.D

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1396961967
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1063458974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 LAMBORNE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722505",
            "telephone_number": "502-935-7284",
            "fax_number": "502-933-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 LAMBORNE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722505",
            "telephone_number": "502-935-7284",
            "fax_number": "502-933-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANGING ROCK LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "BOICE",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-523-9094"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KY",
            "identifier": "0000000219014",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100169010",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501680",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "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": "Essex Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Essex Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William H Haney, MD
• Dakota Renee Hangartner, APRN, FNP-C
• Hanger Prosthetics & Orthotics East Inc
• Hanger Prosthetics & Orthotics East, Inc.
• Hanger Prosthetics & Orthotics Inc
• Marvin J Hanka, MD
• Kristiana Michelle Hanke, SLP
• Kristie L Hankins, APRN
• Sandra J. Hanlin, ARNP
• Allerie Marie Hanlon

• Skilled Nursing Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.