Commonwealth of Kentucky

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COMMONWEALTH OF KENTUCKY

Doing business as

Eastern State Hospital Long Term Care/Acquired Brain Injury (LTC/ABI)

Practice address

1350 Bull Lea Rd
Lexington, KY 40511-1247

Phone

(859) 246-8000

Fax

(859) 246-8043

NPI assigned

Jan 24, 2014

Last updated

Nov 3, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

COMMONWEALTH OF KENTUCKYAs reported in NPPES

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

Authorized official

Name

Ms. Wendy T Morris

Title

Deputy Commissioner

Phone

(502) 564-4860

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eastern State Hospital Long Term Care/Acquired Brain Injury (LTC/ABI) Doing business as

Part of

Commonwealth of Kentucky

Member of 1

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

• Commonwealth of Kentucky

  dba Carl M.Brashear Radcliff Veterans Center

  • Skilled Nursing Facility
  • Radcliff, KY
  • NPI 1043686900

  Member Of

  NPD member

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1356764559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BULL LEA RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111247",
            "telephone_number": "859-246-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BULL LEA RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111247",
            "telephone_number": "859-246-8000",
            "fax_number": "859-246-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF KENTUCKY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF KENTUCKY",
        "enumeration_date": "2014-01-24",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DEPUTY COMMISSIONER",
        "authorized_official_telephone_number": "502-564-4860",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "101245",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100344920",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern State Hospital Long Term Care/Acquired Brain Injury (LTC/ABI)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Commonwealth Integrity Pain Center PLLC
• Commonwealth Medical Care, LLC
• Commonwealth Medical Partners Inc (Commonwealth Medical Partners)
• Commonwealth Neurology Services, P.S.C.
• Commonwealth of Kentucky (ESH APRN Group)
• Commonwealth of Kentucky (Eastern State Hospital)
• Commonwealth of Kentucky (Eastern State Hospital)
• Commonwealth of Kentucky (ESH Physician Assistant Group)
• Commonwealth Orthopaedic Surgeons PSC
• Commonwealth Pain Associates PLLC

• Skilled Nursing Facility in Lexington, KY
• Providers in Lexington, 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 Nov 3, 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.