Homestead Nursing Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100108 Issued in KY

Legal business name

HOMESTEAD NURSING CENTER, LLC

Practice address

1608 Versailles Road
Lexington, KY 40504-2402

Phone

(859) 252-0871

Fax

(859) 389-9571

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mark Bowman

Title

President

Phone

(859) 272-6682

Specialties & licenses 5

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1407948938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 VERSAILLES ROAD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042402",
            "telephone_number": "859-252-0871",
            "fax_number": "859-389-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 VERSAILLES ROAD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042402",
            "telephone_number": "859-252-0871",
            "fax_number": "859-389-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-272-6682"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100108",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "100108",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KY",
            "license": "100108",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "100108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501003",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "00000054847",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Home Medical Equipment, LLC
• Home of New Peace Women and Children, L.L.C.
• Andrea Homer, FNP
• Maya Homer, M.S., CF-SLP
• Homestead Nursing & Rehab Center
• Homesteadidence Opco, LLC
• Hometown Medical LLC
• Hometown Pharmacy of Lexington,PLLC
• Owen Ransom Honaker
• Jenna Turner Honchel, DC

• 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 Oct 2, 2007; 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.