Family Health Care Associates 6 Limited Liability Company

Key facts

NPI: 1154950699
Entity type: Organization (NPI type 2)
Primary specialty: Rural Health Clinic/Center 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
Organization subpart: No

Authorized official

Name: Mrs. Gina Good Good, APRN
Title: Ceo
Phone: (606) 546-7777

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

CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL

Practitioners 1

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

Gina Good, APRN Family Nurse Practitioner · Barbourville, KY · NPI 1831167584

NPD (past)

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
18D2182465	Family Health Care Associates 6, LLC 8070 US Hwy 60 West, Lewisport, KY 42351	Certificate of waiver	Apr 21, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KY

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: LLC · Proprietary
Incorporated: Apr 2, 2020 in KY
Enrollment address: 8070 US Highway 60 W
Lewisport, KY 42351-7087

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.

Name	Role	Since	Share
Gina Good Individual	5% Or Greater Direct Ownership Interest	Apr 2, 2020	100%
Gina Good Individual	Operational/Managerial Control Ceo	Apr 2, 2020

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20200501000766	KY	Part a Provider - Rural Health Clinic	2860822046	Practice locations: Lewisport, KY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Rural Health Clinic/Center	261QR1300X			Yes

Addresses

Primary practice location

8070 US Highway 60 W
Lewisport, KY 42351-7087

Mailing address

PO Box 1535
Barbourville, KY 40906-5535

Other providers in Lewisport, KY

All providers in Lewisport, KY · Rural Health Clinic/Center in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (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.