Kentucky Medical Investors, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100502 Issued in KY

Legal business name

KENTUCKY MEDICAL INVESTORS, LLC

Doing business as

Laurel Creek Health Care Center

Practice address

1033 N Highway 11
Manchester, KY 40962-5478

Phone

(606) 598-6163

Fax

(606) 598-6154

NPI assigned

Jun 1, 2006

Last updated

Jun 4, 2014By 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

Cindy S Cross

Title

Asst. Secretary for Lcca, Manager

Phone

(423) 473-5867

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laurel Creek Health Care Center Doing business as

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1114964905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 N HIGHWAY 11",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409625478",
            "telephone_number": "606-598-6163",
            "fax_number": "606-598-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MEDICAL INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASST. SECRETARY FOR LCCA, MANAGER",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12502027",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Creek Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Deborah K Karsnitz, CNM
• Keerthana Kalengada Karumbaiah
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• L.a. Medical Supply, Inc.
• Rosetta Lakes
• Landmark of Laurel Creek Rehabilitation and Nursing Center

• Skilled Nursing Facility in Manchester, KY
• Providers in Manchester, 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 Jun 4, 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.