Organization Active NPI

Parkway Extended Care Center, Inc.

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1356394597
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100239 Issued in KY
Legal business name
PARKWAY EXTENDED CARE CENTER, INC.
Doing business as
Parkway Medical Center
Practice address
1155 Eastern Pkwy
Louisville, KY 40217-1401
Phone
(502) 636-5241
Fax
(502) 636-0456
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Mr. Rick Lynn Foley
Title
Chief Financial Officer
Phone
(502) 636-5241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100239 KY Primary

Addresses

Primary practice location

1155 Eastern Pkwy
Louisville, KY 40217-1401

Mailing address

1155 Eastern Pkwy
Louisville, KY 40217-1401
Phone (502) 636-5241

Other identifiers 1

IdentifierTypeStateIssuer
12502423MedicaidKY

Other names 1

  • Parkway Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1356394597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 EASTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171401",
            "telephone_number": "502-636-5241",
            "fax_number": "502-636-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 EASTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171401",
            "telephone_number": "502-636-5241",
            "fax_number": "502-636-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY EXTENDED CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-636-5241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12502423",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.