Arh Advanced Care, Inc.
Organization Active NPI Long Term Care Hospital · South Williamson, KY
NPI 1275201162 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1275201162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Hospital 282E00000X
- Legal business name
- ARH ADVANCED CARE, INC.
- Practice address
- 260 Hospital Dr Ste 1
South Williamson, KY 41503-4072 - Phone
- (606) 237-4960
- Fax
- (606) 237-4961
- NPI assigned
- Sep 3, 2021
- Organization subpart
- No
Authorized official
- Name
- Mr. Russell Barker
- Title
- Ceo
- Phone
- (606) 369-1458
Owners & managing parties with NPI records 1
-
Aaron W Crum, M..D.
Other NPIs with the same Medicare PAC ID 1
Member of 1
Facilities with the same owner 22
Affiliated clinicians 2
Medicare Care Compare: Long-term care hospital
- Listed as
- Arh Advanced Care - Big Sandy
- Ownership
- Non-profit
- Certified
- Sep 16, 2023
- Medicare certification status
- Active
- Beds
- 25
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2258620 | Arh Advanced Care - Big Sandy | Certificate of waiver | Apr 24, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Hospital certification: CCN 182010
- Legal name
- ARH ADVANCED CARE INC
- Doing business as
- ARH ADVANCED CARE - BIG SANDY
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Sep 16, 2023
- Last certification
- Dec 29, 2022
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 5, 2021 in KY
- Enrollment address
- 260 Hospital Dr
Ste 1 East
South Williamson, KY 41503-4072 - Hospital subgroups
- Long-term
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Hollie Harris |
Corporate Officer |
Sep 8, 2021 | |
| Corporate Director |
Sep 8, 2021 | ||
| Appalachian Regional Healthcare Inc |
5% Or Greater Direct Ownership Interest | May 5, 2021 | 100% |
| Aaron W Crum |
Corporate Director |
Jan 23, 2023 | |
| James Maynard II |
Corporate Officer |
Mar 1, 2022 | |
| Byron Lynn Gabbard |
Corporate Officer |
Aug 18, 2023 | |
| Corporate Director |
Aug 18, 2023 | ||
| Russell Barker |
Corporate Officer |
Mar 1, 2022 | |
| W-2 Managing Employee |
Mar 1, 2022 | ||
| Jill Maynard |
Corporate Director |
Dec 2, 2021 | |
| Leon Hollon |
Corporate Officer |
Mar 22, 2023 | |
| Corporate Director |
Sep 8, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220413002630 | KY | Part a Provider - Hospital | 6800282179 | Practice locations: South Williamson, KY |
National Provider Directory
Locations
260 Hospital Dr
Ste 1
South Williamson, KY 41503
Phone (606) 237-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Yes | ||
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
260 Hospital Dr Ste 1
South Williamson, KY 41503-4072
Mailing address
260 Hospital Dr Ste 1
South Williamson, KY 41503-4072
Other names
- ARH Advanced Care - Big Sandy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in South Williamson, KY
- Appalachian Regional Healthcare, Inc.
- Appalachian Regional Healthcare, Inc.
- Appalachian Regional Healthcare, Inc.
- Appalachian Regional Healthcare, Inc.
- Appalachian Regional Healthcare, Inc.
- Autumn Kimberlee Baisden
- Walid Elie Baz
- Amanda Bentley
- Whitney Nicole Brinager
- Central Lab Services LLC
All providers in South Williamson, KY · Long Term Care Hospital in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. 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.