Garrard Convalescent Home SNF

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

100266 Issued in KY

Legal business name

GARRARD CONVALESCENT HOME SNF

Practice address

425 Garrard St
Covington, KY 41011-2562

Phone

(859) 581-9393

Fax

(859) 291-2006

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ralph L. Stacey Jr.

Title

President

Phone

(859) 581-9393

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1255319471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 GARRARD ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112562",
            "telephone_number": "859-581-9393",
            "fax_number": "859-291-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 GARRARD ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112562",
            "telephone_number": "859-581-9393",
            "fax_number": "859-291-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRARD CONVALESCENT HOME SNF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-581-9393",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "100266",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100266",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12500948",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1500955",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Frisch, RN
• Jessica Ann Fulton, MD
• Kaeleigh Gale, OTR/L
• Carl D Gandola, MD
• Courtney Gardner
• Maria Caridad Garriga, NBC-HWC
• Garvin Therapeutic, PLLC
• Sarrah Garvin, PCC
• Kimberly Gastenveld
• Helen Gavin, CSW

• Nursing Facility/Intermediate Care Facility in Covington, KY
• Providers in Covington, KY by specialty
• Nursing Facility/Intermediate Care Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.