NPIMap

Organization Active NPI

Landmark of Breathitt County Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Jackson, KY
National Provider Identifier
1154036606
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LANDMARK OF BREATHITT COUNTY REHABILITATION AND NURSING CENTER
Practice address
420 Jett Dr
Jackson, KY 41339-9621
Phone
(606) 666-2456
NPI assigned
Jan 19, 2023
Organization subpart
No

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Breathitt Health & RehabilitationCCN 185112
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 19, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12068.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230901000259 KY Part A Provider - Skilled Nursing Facility 5597128967 Practice locations: Jackson, KY

Skilled nursing facility certification: CCN 185112

Legal name
LANDMARK OF BREATHITT COUNTY REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 19, 1972
Last certification
Feb 7, 2025
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Hill Valley Healthcare
Most recent change of ownership
Jan 1, 2025
Organization structure
LLCProprietary
Enrollment address
420 Jett Dr
Jackson, KY 41339-9621

All disclosed owners & managing parties 3

Medicare enrollment files

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

NameRoleSinceShare
Debra Hunt Individual W-2 Managing EmployeeAdministrator Feb 1, 2023
A&M Healthcare Investments LLC Organization, Brooklyn, NY LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2023 100%
Joseph Meisels Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 23.03%

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Jeffrey Sax
Title
Manager
Phone
(219) 898-5705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

420 Jett Dr
Jackson, KY 41339-9621

Mailing address

6101 Nimtz Pkwy
South Bend, IN 46628-6111
Phone (219) 898-5705

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1154036606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 NIMTZ PKWY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286111",
            "telephone_number": "219-898-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 JETT DR",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399621",
            "telephone_number": "606-666-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK OF BREATHITT COUNTY REHABILITATION AND NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "SAX",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-898-5705"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

Verify at the official NPI Registry.