Vista Ridge SNF Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VISTA RIDGE SNF OPERATIONS LLC

Doing business as

Lake Barkley Health & Rehabilitation

Practice address

1253 Lake Barkley Dr
Kuttawa, KY 42055-6124

Phone

(270) 388-2291

NPI assigned

Dec 31, 2024

Last updated

Dec 31, 2024By 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

Dillion Carver

Title

Regional Director of Operations

Phone

(270) 784-4469

Specialties & licenses 1

Addresses

Other names 1

• Lake Barkley Health & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336958727. Details of each certification follow.

• CCN 185318 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185318

Legal name

VISTA RIDGE SNF OPERATIONS LLC

Doing business as

LAKE BARKLEY HEALTH & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 9, 1991

Last certification

Apr 24, 2025

Beds

65

Ownership / control type

Corporation

Organization structure

LLCProprietary

Enrollment address

1253 Lake Barkley Dr
Kuttawa, KY 42055-6124

Nursing home name

LAKE BARKLEY HEALTH & REHABILITATION

Affiliated entity

LYON HEALTHCARE

Listed as

Lake Barkley Health & RehabilitationCCN 185318 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 9, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6561.2 residents per day on average

Chain

Lyon Healthcare11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 51

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

Facilities with the same owner 3

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

• Chestnut SNF Operations LLC

  dba Chestnut Ridge Health & Rehabilitation

  • Skilled Nursing Facility
  • Louisville, KY
  • NPI 1154130540

  Ky 10 SNF Operations Holdings LLC, Ky10 SNF Opco Manager LLC

  CMS ownership
• Henson SNF Operations LLC

  dba Henson Park Health & Rehabilitation

  • Skilled Nursing Facility
  • Danville, KY
  • NPI 1790594182

  Ky 10 SNF Operations Holdings LLC, Ky10 SNF Opco Manager LLC

  CMS ownership
• Parkwood SNF Operations LLC

  dba Parkwood Health & Rehabilitation

  • Skilled Nursing Facility
  • Louisville, KY
  • NPI 1538978929

  Ky 10 SNF Operations Holdings LLC, Ky10 SNF Opco Manager LLC

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geeta S Chavda, MD

  • Internal Medicine Physician
  • Hopkinsville, KY
  • NPI 1962477133
  NPD (past)
• David R Zetter, MD

  • General Practice Physician
  • Arlington, KY
  • NPI 1598711756
  NPD (past)

Affiliated clinicians 4

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

• Geeta S Chavda, MD

  • Internal Medicine Physician
  • Hopkinsville, KY
  • NPI 1962477133

  Nursing home

  Care Compare affiliation
• David Wayne French, M.D.

  • Family Medicine Physician
  • Eddyville, KY
  • NPI 1649336306

  Nursing home

  Care Compare affiliation
• Jonathan Patmor Maddux, MD

  • Family Medicine Physician
  • Marion, KY
  • NPI 1417194689

  Nursing home

  Care Compare affiliation
• Debra L. Wilder, M.D.

  • Family Medicine Physician
  • Kuttawa, KY
  • NPI 1174513915

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1336958727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 LAKE BARKLEY DR",
            "city": "KUTTAWA",
            "state": "KY",
            "postal_code": "420556124",
            "telephone_number": "270-388-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 LAKE BARKLEY DR",
            "city": "KUTTAWA",
            "state": "KY",
            "postal_code": "420556124",
            "telephone_number": "270-388-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA RIDGE SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "DILLION",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "270-784-4469"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Barkley Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Shingleton, APRN-CNP
• Natalie Simpson
• Elizabeth Skinner, APRN
• Rebecca Sue Smith, OTR, CLT
• Sherry A Thomas, CSW
• Wellness Place LLC
• Debra L. Wilder, M.D.
• Elizabeth A Wilhelm, M.S. CCC-SLP

• Skilled Nursing Facility in Kuttawa, KY
• Providers in Kuttawa, 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 Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.