Marlin K. Sparks Management Company Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

100037 Issued in KY

Legal business name

MARLIN K. SPARKS MANAGEMENT COMPANY INC

Doing business as

Charleston Health Care Center

Practice address

203 Bruce CT
Danville, KY 40422-1948

Phone

(859) 236-9292

Fax

(859) 236-3713

NPI assigned

Sep 21, 2006

Last updated

May 7, 2015By 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

Mrs. Jill Sparks Brown

Title

Co-Owner

Phone

(859) 236-9292

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Charleston Health Care Center Doing business as

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1326146200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BRUCE CT",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221948",
            "telephone_number": "859-236-9292",
            "fax_number": "859-236-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BRUCE CT",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221948",
            "telephone_number": "859-236-9292",
            "fax_number": "859-236-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLIN K. SPARKS MANAGEMENT COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SPARKS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "859-236-9292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "100037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12502480",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000054882",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glen Perry Majors, M.D.
• Joan E. Mann, ATC
• Karen D Maples, PHARMD
• Laurin Whitlea Marcum
• Christopher Alan Marek, M.D.
• Donald Mikael Marshall, D.C.
• George Martin
• Melynda Matherly, P.A. C.
• Donna B. Matthews, RPH
• Krista Allison McCoy, PT

• Nursing Facility/Intermediate Care Facility in Danville, KY
• Providers in Danville, 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 May 7, 2015; 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.