Bolster & Jeffries Health Care Group LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100395 Issued in KY

Legal business name

BOLSTER & JEFFRIES HEALTH CARE GROUP LLC

Practice address

506 Allensville St
Elkton, KY 42220-8834

Phone

(270) 265-5321

Fax

(270) 265-3126

NPI assigned

Nov 4, 2005

Organization subpart

No

Name

Nancy Bolster

Title

Owner/Member

Phone

(270) 265-5321

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geeta S Chavda, MD

  • Internal Medicine Physician
  • Hopkinsville, KY
  • NPI 1962477133
  NPD (past)

• Hearthstone Place Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2014.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1114918364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422200427",
            "telephone_number": "270-265-5321",
            "fax_number": "270-265-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 ALLENSVILLE ST",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "422208834",
            "telephone_number": "270-265-5321",
            "fax_number": "270-265-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLSTER & JEFFRIES HEALTH CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "BOLSTER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "270-265-5321"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504288",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90005877",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearthstone Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cedar H Baik, DMD
• Sarah Ashley Beam, APRN
• Bell Clinic PLLC
• Bell Clinic PLLC
• Sheena Michele Blake, APRN
• Bright Eyes Clinic
• Heather R Bryant, F09171015
• Lisa M Buren, APRN
• Cagneys Clinic PLLC
• Jessica Nicole Castile, RD,LDN

• All providers in Elkton, KY
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.