NPIMap

Organization Active NPI

Ridgeway Nursing & Rehabilitation Facility, LLC

  • Skilled Nursing Facility
  • Owingsville, KY
National Provider Identifier
1104815729
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100018 Issued in KY
Legal business name
RIDGEWAY NURSING & REHABILITATION FACILITY, LLC
Practice address
521 E High St
Owingsville, KY 40360-2104
Phone
(606) 674-6062
Fax
(606) 674-8140
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Mrs. Kimberly Morrow
Title
VP of Administrative Support
Phone
(859) 623-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100018 KY Primary

Addresses

Primary practice location

521 E High St
Owingsville, KY 40360-2104

Mailing address

300 Provider CT
Suite 100
Richmond, KY 40475-8488
Phone (859) 623-0898

Other identifiers 1

IdentifierTypeStateIssuer
12504650MedicaidKY

Other names 1

  • HIlltop Lodge Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1104815729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROVIDER CT",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758488",
            "telephone_number": "859-623-0898",
            "fax_number": "859-623-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E HIGH ST",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403602104",
            "telephone_number": "606-674-6062",
            "fax_number": "606-674-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWAY NURSING & REHABILITATION FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SUPPORT",
        "authorized_official_telephone_number": "859-623-0898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504650",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIlltop Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owingsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.