Breckinridge Health, Inc.
Organization Active NPI Skilled Nursing Facility · Hardinsburg, KY
NPI 1336136290 · NPPES record last updated Jan 6, 2015
Key facts
- NPI
- 1336136290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 100738 (KY)
- Legal business name
- BRECKINRIDGE HEALTH, INC.
- Practice address
- 1011 Old Highway 60
Hardinsburg, KY 40143-2519 - Phone
- (270) 756-7000
- Fax
- (270) 756-6510
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Angela Portman, CEO
- Title
- Nursing Facility Administrator
- Phone
- (270) 756-6577
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 20
Practitioners 14
-
Mandy Jo Butler, FNP
-
Christa K. Dowell, APRN
-
Melony Jill Jaggers, APRN
-
Catherine M Lewis, APRN
-
Cherie C Mullins, APRN
-
Benjamin S Smith, MD
-
John David Synovec, M.D., M.B.A.
-
George Stephen Gilliam, M.D.
-
Charles Fink Peebles, DPM
Medicare Care Compare: Nursing home
- Listed as
- Breckinridge Memorial Nursing Facility
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 11, 1991
- Medicare certification status
- Active
- Certified beds
- 18 · 17.9 residents per day on average
- Penalties (3 years)
- 2 · fines totaling $10,364
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Skilled nursing facility certification: CCN 185285
- Legal name
- BRECKINRIDGE HEALTH, INC.
- Doing business as
- BHI SKILLED NURSING FACILITY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 11, 1991
- Last certification
- Jan 3, 2025
- Beds
- 18
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 24, 1947 in KY
- Enrollment address
- 1011 Old Highway 60
Hardinsburg, KY 40143-2597 - Nursing home name
- BRECKINRIDGE MEMORIAL NURSING FACILITY
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Amy Arndell |
5% Or Greater Indirect Ownership Interest | Oct 1, 2019 | 5% |
| Corporate Officer |
Jan 1, 2019 | ||
| Adp of the SNF | Jun 18, 2025 | ||
| Rebecca Pollock |
Corporate Director |
Aug 1, 2020 | |
| Dottie Watson |
Corporate Director |
Apr 1, 1999 | |
| Faye Dowell |
Corporate Director |
Jan 1, 2019 | |
| Jeffrey Robbins |
Corporate Director |
Feb 1, 2014 | |
| Mitchell Jackson |
Corporate Director |
Feb 1, 2025 | |
| Holly Gregory |
Corporate Director |
Jan 1, 2019 | |
| Tom Loughran |
Corporate Director |
Jan 1, 2019 | |
| Sherry Wilson |
Corporate Director |
Jun 1, 2022 | |
| Angela Portman |
Corporate Officer |
Jun 1, 2015 | |
| Operational/Managerial Control | Jan 1, 2015 | ||
| Adp of the SNF | Jun 18, 2025 | ||
| Janice Elder |
Corporate Director |
Jan 1, 2019 | |
| Kerry Kasey |
Corporate Director |
Jan 1, 2019 | |
| Kim Flood |
Corporate Director |
Jan 1, 2020 | |
| Layman Lucas |
Corporate Director |
Jan 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100617000741 | KY | Part a Provider - Skilled Nursing Facility | 0941106454 | Practice locations: Hardinsburg, KY |
National Provider Directory
- Tax ID family
- Breckinridge Health Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100738 | KY | Yes |
Addresses
Primary practice location
1011 Old Highway 60
Hardinsburg, KY 40143-2519
Mailing address
1011 Old Highway 60
Hardinsburg, KY 40143-2519
Phone (270) 756-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000054572 | Other | KY | BLUE CROSS N F |
| 12503173 | Medicaid | KY |
Other names
- Breckinridge Mem. Nursing Facility
NPI Registry JSON
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420502400000",
"number": "1336136290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 OLD HIGHWAY 60",
"city": "HARDINSBURG",
"state": "KY",
"postal_code": "401432519",
"telephone_number": "270-756-7000",
"fax_number": "270-756-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 OLD HIGHWAY 60",
"city": "HARDINSBURG",
"state": "KY",
"postal_code": "401432519",
"telephone_number": "270-756-7000",
"fax_number": "270-756-6510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRECKINRIDGE HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-05",
"last_updated": "2015-01-06",
"status": "A",
"authorized_official_last_name": "PORTMAN",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "NURSING FACILITY ADMINISTRATOR",
"authorized_official_telephone_number": "270-756-6577",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS N F",
"identifier": "000000054572",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12503173",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Breckinridge Mem. Nursing Facility",
"code": "3",
"type": "Doing Business As"
}
]
}
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All providers in Hardinsburg, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2015. 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.