Breckinridge Services Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

101101 Issued in KY

Legal business name

BRECKINRIDGE SERVICES INC

Doing business as

Beckinridge Place

Practice address

170 Sykes Boulevard
Morganfield, KY 42437

Phone

(270) 389-1133

Fax

(270) 389-1133

NPI assigned

Sep 29, 2009

Last updated

Jul 29, 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

Mrs. Amber Hulette, RN

Title

Administrator

Phone

(270) 389-1133

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Beckinridge Place Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073847729. Details of each certification follow.

• CCN 185465 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185465

Legal name

BRECKINRIDGE SERVICES INC

Doing business as

BRECKINRIDGE PLACE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Jun 3, 2010

Last certification

Jul 20, 2023

Beds

24

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 26, 2007 in KY

Enrollment address

170 Sykes Blvd
Morganfield, KY 42437-6685

Nursing home name

BRECKINRIDGE PLACE

Listed as

Breckinridge PlaceCCN 185465 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jun 3, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2423.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Leon Everett Butler Jr., M.D.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1689754822

  Adp of the SNF, W-2 Managing Employee

  CMS ownership
• Jama R Wells, PA-C

  • Physician Assistant
  • Evansville, IN
  • NPI 1972570786

  Corporate Officer

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• William H Clapp, M.D.

  • Family Medicine Physician
  • Morganfield, KY
  • NPI 1912973173

  Nursing home

  Care Compare affiliation
• Aisha S Havill

  • Family Nurse Practitioner
  • Sebree, KY
  • NPI 1235779620

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1073847729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "UNIONTOWN",
            "state": "KY",
            "postal_code": "424610128",
            "telephone_number": "270-822-4218",
            "fax_number": "270-822-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SYKES BOULEVARD",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "42437",
            "telephone_number": "270-389-1133",
            "fax_number": "270-389-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECKINRIDGE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "HULETTE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "270-389-1133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "101101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100120620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beckinridge Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy Michelle Baker, OTR/L
• Baptist Health Madisonville Inc (Baptist Health Medical Associates)
• William B Bebout, M.D.
• Jennifer Lynn Bercaw, OTR/L
• Ashleigh Bolton, DPT
• Farrah N Burgess, LPCC
• William H Clapp, M.D.
• William Kyle Clark, LMT
• Tara Lynn Clements, OTR
• Peter Pruitt Cohron, BSPHARM, JD

• Skilled Nursing Facility in Morganfield, KY
• Providers in Morganfield, 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 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.