SMR Southern Kentucky, LLC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

SMR SOUTHERN KENTUCKY, LLC

Practice address

1300 Campbell LN
Bowling Green, KY 42104-4162

Phone

(717) 972-1100

NPI assigned

Nov 25, 2025

Organization subpart

No

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

Authorized official

Name

Michael Tarvin

Title

VP

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• SOUTHERN KENTUCKY REHABILITATION HOSPITAL Doing business as

Tax ID family

SMR Southern Kentucky LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SMR Southern Kentucky, LLC

  • Rehabilitation Hospital
  • Bowling Green, KY
  • NPI 1588524813
  NPD tax ID

Locations

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1306708714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CAMPBELL LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044162",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMR SOUTHERN KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN KENTUCKY REHABILITATION HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Parker Riley Smith, PMHNP-BC
• Steven Smith, M.D.
• Tevis Clark Smith, CRNA, RN
• Whitney Smith, CASE MANAGER
• Jordan Paige Smithson, OTR/L
• SMR Southern Kentucky, LLC
• Cody Sneed, RBT
• SNH Derby Tenant LLC
• Mary Lee Snodgrass, RPH
• Stanford Coleman Snodgrass, DVM

• Rehabilitation Hospital in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Rehabilitation Hospital in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.