Life Care Centers of America, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100011 Issued in KY

Legal business name

LIFE CARE CENTERS OF AMERICA, INC.

Doing business as

Life Care Center of La Center

Practice address

252 West 5TH Street
La Center, KY 42056

Phone

(270) 665-5681

Fax

(270) 665-9766

NPI assigned

Jun 5, 2006

Last updated

Sep 15, 2021By 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

Cindy S Cross

Title

Assistant Secretary

Phone

(423) 473-5867

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life Care Center of La Center Doing business as

Tax ID family

La Center Operations 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.

• La Center Operations, LLC

  dba Life Care Center of La Center

  • Skilled Nursing Facility
  • La Center, KY
  • NPI 1578924270
  NPD tax ID

Member of 1

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

• Life Care Centers of America, Inc.

  dba Life Care Center of Cleveland

  • Skilled Nursing Facility
  • Cleveland, TN
  • NPI 1083656615

  Member Of

  NPD member

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1336188408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WEST 5TH STREET",
            "city": "LA CENTER",
            "state": "KY",
            "postal_code": "42056",
            "telephone_number": "270-665-5681",
            "fax_number": "270-665-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE CENTERS OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12500526",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Center of La Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen S. Edwards, SLP
• Four Rivers Medical Transport
• Janna Lea Gordon, PTA
• Rebecca Lorraine Hafford, COTA
• La Center Operations, LLC (Life Care Center of La Center)
• Purchase District Health Dept
• Wendy Renfrow, PHARMD
• Morteza Shafa, M.D.
• Sutton Drugs of la Center Inc
• Sutton Drugs of la Center Inc (Sutton Drugs)

• Skilled Nursing Facility in La Center, KY
• Providers in La Center, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.