Kindred Nursing Centers Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100481 Issued in KY

Legal business name

KINDRED NURSING CENTERS LIMITED PARTNERSHIP

Doing business as

Heritage Manor Healthcare Center

Practice address

401 Indiana Ave
Mayfield, KY 42066-1766

Phone

(270) 247-0200

Fax

(270) 247-8913

NPI assigned

Jul 28, 2006

Last updated

Sep 15, 2017By 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

Ms. Marilyn A. Weaver

Title

Assistant Secretary

Phone

(502) 596-7300

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Heritage Manor Healthcare Center Doing business as

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1083628903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S. FOURTH STREET",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-6505",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 INDIANA AVE",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661766",
            "telephone_number": "270-247-0200",
            "fax_number": "270-247-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED NURSING CENTERS LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "70037899",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12503561",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF KY",
            "identifier": "54428",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Manor Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Keenan
• Emily Kaye Keenan, RN
• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy # 06380)
• Kentucky in-Home Partner-I, LLC (Lifeline of Jackson Purchase Home Health)
• Amanda Denise Kimbler, APRN
• Peter Kiongo, MHS,OTR
• Erin Elizabeth Kirby, BACHELOR OF SCIENCE
• Lynnell Kirkland, ATC
• Mary Susan Kyle, LCSW
• Christopher Ryan Lafever, MS LPCA

• Skilled Nursing Facility in Mayfield, KY
• Providers in Mayfield, 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 Sep 15, 2017; 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.