Family Health Care Associates 6 Limited Liability Company

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FAMILY HEALTH CARE ASSOCIATES 6 LIMITED LIABILITY COMPANY

Practice address

8070 US Highway 60 W
Lewisport, KY 42351-7087

Phone

(606) 521-9158

NPI assigned

Apr 6, 2020

Last updated

May 18, 2023By 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

Mrs. Gina Good Good, APRNNPI 1831167584

Title

Ceo

Phone

(606) 546-7777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154950699. Details of each certification follow.

• CCN B03883 Rural health clinic · Active · Details

Rural health clinic certification: CCN B03883

Legal name

FAMILY HEALTH CARE ASSOCIATES 6 LIMITED LIABILITY COMPANY

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Apr 13, 2022

Last certification

Apr 13, 2022

Ownership / control type

1A

Organization structure

LLCProprietary

Incorporated

Apr 2, 2020 in KY

Enrollment address

8070 US Highway 60 W
Lewisport, KY 42351-7087

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

CLIA laboratory certificates

All disclosed owners & managing parties 1

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

Owners & managing parties with NPI records 1

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

• Gina Good, APRN

  • Family Nurse Practitioner
  • Barbourville, KY
  • NPI 1831167584

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 1

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.

• Gina Good, APRN

  • Family Nurse Practitioner
  • Barbourville, KY
  • NPI 1831167584
  NPD (past) Authorized official

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1154950699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 US HIGHWAY 60 W",
            "city": "LEWISPORT",
            "state": "KY",
            "postal_code": "423517087",
            "telephone_number": "606-521-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CARE ASSOCIATES 6 LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "GOOD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-546-7777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Cameron, COTA/L
• McKena Campbell, LPCC
• Cynthia Jo Emmick, ARNP
• Estes Behavioral Health, LLC
• Adria Leigh Eubanks, PHARM.D.
• George Marshall Counseling, PLLC
• Brenton A Hallden, APRN
• Hancock Health LLC
• HBR Lewisport, LLC (Heartland Villa Center)
• Heartland Villa Health Center LLC (Heartland Villa Center)

• Rural Health Clinic/Center in Lewisport, KY
• Providers in Lewisport, KY by specialty
• Rural Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.