Active NPI
Butler Rest Home, Inc
- Skilled Nursing Facility
- Butler, KY
National Provider Identifier
1164422945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100362
- Legal business name
- BUTLER REST HOME, INC
- Practice address
- 305 Taylor LN
Butler, KY 41006-8550 - Phone
- (859) 472-2217
- Fax
- (859) 472-5869
- NPI assigned
- Jul 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth Urlage, B.S. BUSINESS ADMINI
- Title
- Administrator
- Phone
- (859) 472-2217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100362 | KY | Primary |
Addresses
Primary practice location
305 Taylor LN
Butler, KY 41006-8550
Mailing address
PO Box 402
Butler, KY 41006-0402
Phone (859) 472-2217
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1207260001 | Other | KY | DEMARC |
| 12501540 | Medicaid | KY |
Other names 1
- River Valley Nursing Home
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Foster, KY
- NPI 1801895396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282867200000",
"number": "1164422945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 402",
"city": "BUTLER",
"state": "KY",
"postal_code": "410060402",
"telephone_number": "859-472-2217",
"fax_number": "859-472-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 TAYLOR LN",
"city": "BUTLER",
"state": "KY",
"postal_code": "410068550",
"telephone_number": "859-472-2217",
"fax_number": "859-472-5869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUTLER REST HOME, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2010-08-27",
"status": "A",
"authorized_official_last_name": "URLAGE",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "859-472-2217",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.S. BUSINESS ADMINI"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEMARC",
"identifier": "1207260001",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12501540",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "River Valley Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Butler, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.