Pikeville Nursing and Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PIKEVILLE NURSING AND REHAB CENTER LLC

Doing business as

Pikeville Nursing and Rehab Center

Practice address

260 S Mayo TRL
Pikeville, KY 41501-1520

Phone

(606) 437-7327

Fax

(606) 432-9428

NPI assigned

Jul 23, 2018

Last updated

Jul 23, 2018By 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

Jacob Walden

Title

Managing Member

Phone

(845) 641-0543

Specialties & licenses 1

Addresses

Other names 1

• Pikeville Nursing and Rehab Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265919344. Details of each certification follow.

• CCN 185094 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185094

Legal name

PIKEVILLE NURSING AND REHAB CENTER LLC

Doing business as

PIKEVILLE NURSING AND REHAB CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 1, 1970

Last certification

Oct 30, 2024

Beds

106

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Nov 1, 2007

Organization structure

LLCProprietary

Enrollment address

260 S Mayo TRL
Pikeville, KY 41501-1520

Nursing home name

PIKEVILLE NURSING AND REHAB CENTER, LLC

Affiliated entity

EMERALD HEALTHCARE

Listed as

Pikeville Nursing and Rehab Center, LLCCCN 185094 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Jun 1, 1970

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10692.4 residents per day on average

Chain

Emerald Healthcare14 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 19

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.

• Jesus Victor Tovar, M.D.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1801059399

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Lexington SNF Operations LLC

  dba Lexington Premier Nursing & Rehab

  • Skilled Nursing Facility
  • Lexington, KY
  • NPI 1164311098

  Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Merch Pay Inc, Private Bancorp Inc, Saul N Friedman & Company, Wellsky Corporation, Zimmet Healthcare Services Group LLC

  CMS ownership
• Columbus Operations LLC

  • Skilled Nursing Facility
  • Columbus, NE
  • NPI 1710449426

  Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Merch Pay Inc, Saul N Friedman & Company, Zimmet Healthcare Services Group LLC

  CMS ownership
• Cozad Operations LLC

  • Skilled Nursing Facility
  • Cozad, NE
  • NPI 1861955528

  Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Merch Pay Inc, Saul N Friedman & Company, Zimmet Healthcare Services Group LLC

  CMS ownership
• Emerald Nursing & Rehab Brookside LLC

  • Skilled Nursing Facility
  • Lincoln, NE
  • NPI 1437812096

  Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Saul N Friedman & Company, Wellsky Corporation, Zimmet Healthcare Services Group LLC

  CMS ownership
• Grand Island Lakeview Operations LLC

  dba Emerald Nursing & Rehab Lakeview

  • Skilled Nursing Facility
  • Grand Island, NE
  • NPI 1346702057

  Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Merch Pay Inc, Saul N Friedman & Company, Wellsky Corporation, Zimmet Healthcare Services Group LLC

  CMS ownership
• Hot Springs SNF Opco LLC

  dba Lake Forest Livng at Hot Springs Village

  • Skilled Nursing Facility
  • Hot Springs, AR
  • NPI 1659100980

  Wellsky Corporation

  CMS ownership
• Mercy Care Center LLC

  dba Emerald Nursing & Rehab Mercy

  • Skilled Nursing Facility
  • Omaha, NE
  • NPI 1851098461

  Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Merch Pay Inc, Private Bancorp Inc, Saul N Friedman & Company, Wellsky Corporation, Zimmet Healthcare Services Group LLC

  CMS ownership
• Omaha Operations LLC

  • Skilled Nursing Facility
  • Omaha, NE
  • NPI 1861953218

  Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Saul N Friedman & Company, Wellsky Corporation, Zimmet Healthcare Services Group LLC

  CMS ownership
• Paramount Community Living and Rehab, Inc.

  • Skilled Nursing Facility
  • Newton, KS
  • NPI 1003415415

  Emerald Healthcare LLC, Evolve Therapy Services LLC, Limestone Fiscal Services LLC, Merch Pay Inc, Private Bancorp Inc, Saul N Friedman & Company, Zimmet Healthcare Services Group LLC

  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.

• Jesus Victor Tovar, M.D.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1801059399
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jesus Victor Tovar, M.D.

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1801059399

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1265919344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011520",
            "telephone_number": "606-437-7327",
            "fax_number": "606-432-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011520",
            "telephone_number": "606-437-7327",
            "fax_number": "606-432-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE NURSING AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "845-641-0543"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pikeville Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pikeville Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pikeville Medical Center, Inc.
• Pikeville Medical Center, Inc. (Pikeville Family Practice Clinic)
• Pikeville Medical Equipment & Supplies, Inc.
• Pikeville Medical Offices
• Pikeville Neurology Clinic & Diagnostic Center PSC
• Pikeville Nursing and Rehab Center LLC (Pikeville Nursing and Rehab Center)
• Pikeville Optical Company Inc (The Eye Site)
• Pikeville Radiology
• Pikeville Radiology PLLC
• Pikeville Spine, Sports & Joint Pain Center L.L.C,.

• Skilled Nursing Facility in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.