Arbor Place of Clinton

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100181 Issued in KY

Legal business name

ARBOR PLACE OF CLINTON

Practice address

106 Padgett Drive
Clinton, KY 42031

Phone

(270) 653-5558

Fax

(270) 653-5522

NPI assigned

Dec 2, 2005

Last updated

Aug 22, 2020By 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. John M. Sells

Title

President/Ceo

Phone

(573) 471-5800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104800101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 NORTH KINGSHIGHWAY",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "63801",
            "telephone_number": "573-471-5800",
            "fax_number": "573-471-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PADGETT DRIVE",
            "city": "CLINTON",
            "state": "KY",
            "postal_code": "42031",
            "telephone_number": "270-653-5558",
            "fax_number": "270-653-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR PLACE OF CLINTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SELLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "573-471-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504486",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arbor Place of Clinton Inc
• Arcare (KentuckyCare39)
• Arcare (Arcare Pharmacy 145)
• Melanie J Barber, APRN
• Cayce B. Batts, DSW, LCSW

• Skilled Nursing Facility in Clinton, KY
• Providers in Clinton, 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 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.