Organization Active NPI

Pembroke Health Facilities LP

Doing business as Christian Heights Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Pembroke, KY
National Provider Identifier
1376803551
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PEMBROKE HEALTH FACILITIES LP
Doing business as
Christian Heights Nursing and Rehabilitation Center
Practice address
124 W Nashville St
Pembroke, KY 42266-9763
Phone
(270) 475-4227
Fax
(270) 475-4173
NPI assigned
May 22, 2012
Last updated
Nov 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Mrs. Jamie L Collier
Title
Director of Reimbursement
Phone
(972) 931-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

124 W Nashville St
Pembroke, KY 42266-9763

Mailing address

5420 W Plano Pkwy
Plano, TX 75093-4823
Phone (972) 931-3800

Other identifiers 1

IdentifierTypeStateIssuer
7100243500MedicaidKY

Other names 1

  • Christian Heights Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

124 W Nashville St
Pembroke, KY 42266
Phone (270) 475-4173

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1376803551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934823",
            "telephone_number": "972-931-3800",
            "fax_number": "972-767-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W NASHVILLE ST",
            "city": "PEMBROKE",
            "state": "KY",
            "postal_code": "422669763",
            "telephone_number": "270-475-4227",
            "fax_number": "270-475-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBROKE HEALTH FACILITIES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "972-931-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100243500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Heights Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.