NPIMap

Organization Active NPI

Arh Advanced Care, Inc.

Doing business as ARH Advanced Care - Big Sandy

  • Long Term Care Hospital
  • South Williamson, KY
National Provider Identifier
1275201162
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
ARH ADVANCED CARE, INC.
Doing business as
ARH Advanced Care - Big Sandy
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
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Mr. Russell Barker
Title
Ceo
Phone
(606) 369-1458

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary
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 1

  • ARH Advanced Care - Big Sandy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220413002630 KY Part A Provider - Hospital 6800282179 Practice locations: South Williamson, KY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1275201162. Details of each certification follow.

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
CorporationNon-profit
Incorporated
May 5, 2021 in KY
Enrollment address
260 Hospital Dr
Ste 1 East
South Williamson, KY 41503-4072
Other Hospital Practice Location
Hospital subgroups
Long-term

Hospital certification: CCN 180155

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ARH ADVANCED CARE - BIG SANDY
Certification status
Terminated Other: provider status change, Sep 15, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Mar 16, 2023
Last certification
Dec 29, 2022
Beds
25
Ownership / control type
Private (not for profit)
Facility address
260 Hospital Drive, Suite 1 East
South Williamson, KY 41503

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Arh Advanced Care - Big SandyCCN 182010 · All quality measures
Ownership
Non-profit
Certified
Sep 16, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Beds
25

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2258620Arh Advanced Care - Big Sandy260 Hospital Drive, Suite 1, South Williamson, KY 41503Certificate of waiverApr 24, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hollie Harris Individual Corporate OfficerSecretary Sep 8, 2021
Corporate DirectorDirector Sep 8, 2021
Appalachian Regional Healthcare Inc Organization, Lexington, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 5, 2021 100%
Aaron W Crum Individual Corporate DirectorDirector Jan 23, 2023
James Maynard II Individual Corporate OfficerChief Operations Officer Mar 1, 2022
Byron Lynn Gabbard Individual Corporate OfficerTreasurer Aug 18, 2023
Corporate DirectorDirector Aug 18, 2023
Russell Barker Individual Corporate OfficerCeo Mar 1, 2022
W-2 Managing EmployeeCeo Mar 1, 2022
Jill Maynard Individual Corporate DirectorDirector Dec 2, 2021
Leon Hollon Individual Corporate OfficerChairman of the Board Mar 22, 2023
Corporate DirectorDirector Sep 8, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 21

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

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1275201162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR STE 1",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR STE 1",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034072",
            "telephone_number": "606-237-4960",
            "fax_number": "606-237-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARH ADVANCED CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-369-1458",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ARH Advanced Care - Big Sandy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARH Advanced Care - Big Sandy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Williamson, KY

Sources for this page

Verify at the official NPI Registry.