Rural Educational Association of Kentucky

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100355 Issued in KY

Legal business name

RURAL EDUCATIONAL ASSOCIATION OF KENTUCKY

Doing business as

Friendship Manor Nursing Home

Practice address

7400 W Highway 146
Pewee Valley, KY 40056-9155

Phone

(502) 241-8821

Fax

(502) 241-4598

NPI assigned

Feb 1, 2007

Last updated

Jul 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Leslie J Butterfield

Title

Administrator

Phone

(502) 241-8821

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Friendship Manor Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1073651295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W HIGHWAY 146",
            "address_2": "P. O. BOX 0307",
            "city": "PEWEE VALLEY",
            "state": "KY",
            "postal_code": "400569155",
            "telephone_number": "502-241-8821",
            "fax_number": "502-241-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W HIGHWAY 146",
            "city": "PEWEE VALLEY",
            "state": "KY",
            "postal_code": "400569155",
            "telephone_number": "502-241-8821",
            "fax_number": "502-241-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL EDUCATIONAL ASSOCIATION OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "BUTTERFIELD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-241-8821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501599",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zahyn David Ortiz
• Savannah Cooper Pike
• Julie Pritchett, LCSW
• Elizabeth S Rachel, M.D.
• Vijayalakshmi Kasunganti Rao, MD
• Sara Carey, LLC (Carey Counseling Solutions)
• Sandra Schulz
• Karen Elizabeth Snider, P. T.
• Shannon Dale Snider, P. T., CSCS
• Andrea Sorsa, LCSW

• Skilled Nursing Facility in Pewee Valley, KY
• Providers in Pewee Valley, 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 14, 2010; 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.