Organization Active NPI

Butler Rest Home, Inc

  • Skilled Nursing Facility
  • Butler, KY
National Provider Identifier
1164422945
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100362 Issued in KY
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

Updated by the provider on Aug 27, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1207260001OtherKYDEMARC
12501540MedicaidKY

Other names 1

  • River Valley Nursing Home Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.