Grayson Housing Incorporated

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100150 Issued in KY

Legal business name

GRAYSON HOUSING INCORPORATED

Doing business as

Grayson Manor Nursing Home

Practice address

505 William Thomason Byway
Leitchfield, KY 42754-1419

Phone

(270) 259-4028

Fax

(270) 259-2417

NPI assigned

Dec 13, 2006

Last updated

Jan 20, 2015By 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

Mr. Joseph Benjamin Vance, NHA

Title

Administrator

Phone

(270) 259-4028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grayson Manor Nursing Home Doing business as

Practitioners 1

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.

• Leon Everett Butler Jr., M.D.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1689754822
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1437210515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WILLIAM THOMASON BYWAY",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541419",
            "telephone_number": "270-259-4028",
            "fax_number": "270-259-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WILLIAM THOMASON BYWAY",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541419",
            "telephone_number": "270-259-4028",
            "fax_number": "270-259-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON HOUSING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "270-259-4028",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501417",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grayson Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grayson County Hospital Foundation Inc (Twin Lakes Regional Medical Center)
• Grayson County Hospital Foundation Inc (Twin Lakes Emergency)
• Grayson County Hospital Foundation Inc (Tlrmc Reference Lab)
• Grayson County Hospital Foundation Inc. (Twin Lakes Home Health Agency)
• Grayson Emergency Group LLC
• Grayson Nursing & Rehabilitation Center LLC (Grayson Nursing and Rehabilitation)
• Kenneth E Green, MD
• Merry Lynn Green, CRNA
• Gregory G. Skaggs MD
• Jacklyn Gross

• Skilled Nursing Facility in Leitchfield, KY
• Providers in Leitchfield, 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 Jan 20, 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.