NPIMap

Organization Active NPI

A Plus Family Healthcare LLC

  • Federally Qualified Health Center (FQHC)
  • Brownsville, KY
National Provider Identifier
1114442191
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
A PLUS FAMILY HEALTHCARE LLC
Practice address
210 S Main St Ste 101
Brownsville, KY 42210-9001
Phone
(270) 975-4050
Fax
(270) 975-4002
NPI assigned
Aug 10, 2017
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Patrick Merritt
Title
Ceo
Phone
(270) 975-4050

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

210 S Main St Ste 101
Brownsville, KY 42210-9001

Mailing address

PO Box 784
Brownsville, KY 42210-0784
Phone (270) 975-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171031000962 KY Part B Supplier - Clinic/Group Practice 2466728852 Receives reassigned benefits from 10 practitioners
Practice locations: Brownsville, KY; Elizabethtown, KY
O20191107001477 KY Part A Provider - Federally Qualified Health Center (FQHC) 2466728852 Practice locations: Brownsville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114442191. Details of each certification follow.

Federally qualified health center certification: CCN 181156

Legal name
A PLUS FAMILY HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 31, 2019
Last certification
Oct 31, 2019
Ownership / control type
For profit – partnership
Organization structure
LLCNon-profit
Enrollment address
210 S Main St
Ste 101
Brownsville, KY 42210-9001

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2137212A Plus Family Healthcare210 South Main Street Suite 101, Brownsville, KY 42210Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

210 S Main St
#101
Brownsville, KY 42210
Phone (270) 975-4050

3046 Dolphin Dr
Ste 100
Elizabethtown, KY 42701
Phone (270) 268-5036

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Jeannie Woehler Individual Corporate OfficerCoo Oct 1, 2024
Lauren Boles Individual Corporate OfficerCfo May 1, 2023
Adam Turner Individual Corporate DirectorBoard Member Jul 1, 2022
Jennifer a Camas Individual Corporate OfficerCmo Jun 1, 2022
Alicia Edwards Individual Corporate DirectorBoard Member Jan 1, 2022
Patrick Merritt Individual Corporate OfficerChief Executive Officer Oct 16, 2018
W-2 Managing EmployeeCeo Nov 27, 2018
Andrea Brantley Individual Corporate DirectorBoard Member Jun 24, 2024
Other Jun 24, 2024
Ashley Graham Individual Corporate OfficerCco May 1, 2023
Lynda Love Individual Corporate DirectorBoard Member Dec 19, 2022
Barbara Fitzhugh Individual Corporate DirectorVice Chairman of the Board Nov 27, 2018
Lauren McReynolds Individual Corporate DirectorBoard Member Dec 18, 2022
Ryan Wigginton Individual Corporate DirectorTreasurer of the Board Dec 18, 2023
Tyler McCombs Individual Corporate DirectorBoard Member Dec 18, 2023
James Carnes Individual Corporate DirectorChairman of the Board Nov 27, 2018
Daniel Priddy Individual Corporate DirectorSecretary of the Board Jan 1, 2022
Meredith West Individual Corporate DirectorBoard Member Nov 27, 2018

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1114442191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422100784",
            "telephone_number": "270-975-4050",
            "fax_number": "270-975-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST STE 101",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422109001",
            "telephone_number": "270-975-4050",
            "fax_number": "270-975-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLUS FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-975-4050"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, KY

Sources for this page

Verify at the official NPI Registry.