Middlesboro Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MIDDLESBORO OPERATIONS, LLC

Practice address

235 New Wilson LN
Middlesboro, KY 40965-2705

Phone

(859) 623-0898

NPI assigned

Oct 31, 2016

Last updated

Jun 16, 2017By 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

Benjamin Landa

Title

Managing Member

Phone

(516) 869-3700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386196939. Details of each certification follow.

• CCN 185240 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185240

Legal name

MIDDLESBORO OPERATIONS LLC

Doing business as

MIDDLESBORO NURSING AND REHABILITATION FACILITY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 22, 1991

Last certification

Sep 19, 2024

Beds

95

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Bluegrass Health Partners

Most recent change of ownership

Nov 1, 2016

Organization structure

LLCProprietary

Incorporated

Aug 26, 2016 in KY

Enrollment address

235 New Wilson LN
Middlesboro, KY 40965-2705

Nursing home name

MIDDLESBORO NURSING AND REHABILITATION FACILITY

Affiliated entity

BLUEGRASS HEALTH KY

Listed as

Middlesboro Nursing and Rehabilitation FacilityCCN 185240 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 22, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9591.5 residents per day on average

Chain

Bluegrass Health Ky15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Middlesboro Health Care Facility2 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.

• Middlesboro Manor LLC

  dba Middlesboro Health Care Facility

  • Skilled Nursing Facility
  • Middlesboro, KY
  • NPI 1881683480
  NPD tax ID

All disclosed owners & managing parties 39

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Thomas N Epperson III, MD

  • Internal Medicine Physician
  • Middlesboro, KY
  • NPI 1184605966

  Adp of the SNF

  CMS ownership

Facilities with the same owner 15

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

• Berea Healthcare, LLC

  dba Berea Acquisition, LLC

  • Skilled Nursing Facility
  • Berea, KY
  • NPI 1619487741

  Valley Stream Operator I LLC

  CMS ownership
• Berea Operations, LLC

  • Skilled Nursing Facility
  • Berea, KY
  • NPI 1760934392

  Kennedy Ky Holdings LLC, Ky Equity Partners LLC, Valley Stream Operator I LLC

  CMS ownership
• Cambridge Operations LLC

  dba Cambridge Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Lexington, KY
  • NPI 1467154963

  Valley Stream Operator I LLC

  CMS ownership
• CNRF Operations, LLC

  • Skilled Nursing Facility
  • Campbellsville, KY
  • NPI 1821540485

  Kennedy Ky Holdings LLC, Ky Equity Partners LLC, Valley Stream Operator I LLC

  CMS ownership
• Cumberland Ky Opco LLC

  • Skilled Nursing Facility
  • Burkesville, KY
  • NPI 1962112854

  Valley Stream Operator I LLC

  CMS ownership
• DJLM Operations, LLC

  • Skilled Nursing Facility
  • Whitesburg, KY
  • NPI 1457803017

  Kennedy Ky Holdings LLC, Ky Equity Partners LLC, Valley Stream Operator I LLC

  CMS ownership
• Dover Manor Operations LLC

  • Skilled Nursing Facility
  • Georgetown, KY
  • NPI 1306553052

  Valley Stream Operator I LLC

  CMS ownership
• Martin Manor Operations, LLC

  • Skilled Nursing Facility
  • Inez, KY
  • NPI 1962954529

  Kennedy Ky Holdings LLC, Ky Equity Partners LLC, Valley Stream Operator I LLC

  CMS ownership
• Maysville Operations, LLC

  • Skilled Nursing Facility
  • Maysville, KY
  • NPI 1578015129

  Kennedy Ky Holdings LLC, Ky Equity Partners LLC

  CMS ownership
• Oakmont Operations, LLC

  • Skilled Nursing Facility
  • Flatwoods, KY
  • NPI 1730631367

  Kennedy Ky Holdings LLC, Ky Equity Partners LLC, Valley Stream Operator I LLC

  CMS ownership
• Ridgeway NRF Operations, LLC

  • Skilled Nursing Facility
  • Owingsville, KY
  • NPI 1972055515

  Kennedy Ky Holdings LLC, Ky Equity Partners LLC, Valley Stream Operator I LLC

  CMS ownership
• Robertson Operations, LLC

  • Skilled Nursing Facility
  • Mount Olivet, KY
  • NPI 1023560661

  Kennedy Ky Holdings LLC, Ky Equity Partners 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.

• Thomas N Epperson III, MD

  • Internal Medicine Physician
  • Middlesboro, KY
  • NPI 1184605966
  NPD (past)
• Charles A Moore, MD

  • Internal Medicine Physician
  • Middlesboro, KY
  • NPI 1003816372
  NPD (past)

Affiliated clinicians 2

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

• Thomas N Epperson III, MD

  • Internal Medicine Physician
  • Middlesboro, KY
  • NPI 1184605966

  Nursing home

  Care Compare affiliation
• Charles A Moore, MD

  • Internal Medicine Physician
  • Middlesboro, KY
  • NPI 1003816372

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497571200000",
    "number": "1386196939",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NEW WILSON LN",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652705",
            "telephone_number": "859-623-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESBORO OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2017-06-16",
        "status": "A",
        "authorized_official_last_name": "LANDA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-869-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Joyce McNeil
• Emily Meister, O.D.
• Middlesboro Board of Education
• Middlesboro Health Department
• Middlesboro Manor LLC (Middlesboro Health Care Facility)
• Middlesborough Emergency Physicians LLC
• Middleton Counseling & Wellness
• Chaz Middleton, PA-C
• Elizabeth Middleton, LPCA
• Mikels Drive in Pharmacy

• Skilled Nursing Facility in Middlesboro, KY
• Providers in Middlesboro, 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 Jun 16, 2017; 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.