NPIMap

Organization Active NPI

Whitley County, LLC

  • Skilled Nursing Facility
  • Corbin, KY
National Provider Identifier
1366431975
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100771 Issued in KY
Legal business name
WHITLEY COUNTY, LLC
Practice address
192 Bacon Creek Rd
Corbin, KY 40701-8639
Phone
(606) 526-1900
Fax
(606) 526-9892
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Mrs. Kimberly Morrow
Title
VP of Administrative Support
Phone
(859) 623-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100771 KY Primary

Addresses

Primary practice location

192 Bacon Creek Rd
Corbin, KY 40701-8639

Mailing address

300 Provider CT
Richmond, KY 40475-8488
Phone (859) 623-0898

Other identifiers 2

IdentifierTypeStateIssuer
12503330MedicaidKY
90160763MedicaidKY

Other names 1

  • The Heritage Nursing & Rehabilitation Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Heritage2 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.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1366431975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROVIDER CT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758488",
            "telephone_number": "859-623-0898",
            "fax_number": "859-623-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 BACON CREEK RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018639",
            "telephone_number": "606-526-1900",
            "fax_number": "606-526-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITLEY COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SUPPORT",
        "authorized_official_telephone_number": "859-623-0898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12503330",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90160763",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heritage Nursing & Rehabilitation Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.