Organization Active NPI

Thames Healthcare Group, LLC

Doing business as Lakeway Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Benton, KY
National Provider Identifier
1447295548
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10514 Issued in KY
Legal business name
THAMES HEALTHCARE GROUP, LLC
Doing business as
Lakeway Nursing and Rehabilitation Center
Practice address
2607 Main St
Benton, KY 42025-7601
Phone
(270) 527-3296
Fax
(270) 527-9349
NPI assigned
Jun 20, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Ms. Karen G McDaniel
Title
President
Phone
(252) 523-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10514 KY Primary

Addresses

Primary practice location

2607 Main St
Benton, KY 42025-7601

Mailing address

PO Box 385
Benton, KY 42025-0385
Phone (270) 527-3296

Other identifiers 2

IdentifierTypeStateIssuer
7100169230MedicaidKY
12501029MedicaidKY

Other names 1

  • Lakeway Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110411000274 KY Part A Provider - Skilled Nursing Facility 9739360926 Practice locations: Benton, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447295548. Details of each certification follow.

Skilled nursing facility certification: CCN 185258

Legal name
THAMES HEALTHCARE GROUP, LLC
Doing business as
LAKE WAY NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 9, 1991
Last certification
Oct 8, 2020
Beds
96
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Principle LTC
Organization structure
LLCProprietary
Incorporated
Aug 20, 2010 in NC
Enrollment address
2607 Main St
Benton, KY 42025-7601
Nursing home name
LAKE WAY REHABILITATION AND HEALTHCARE CENTER
Affiliated entity
PRINCIPLE LONG TERM CARE

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lake Way Rehabilitation and Healthcare CenterCCN 185258 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 9, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9686.4 residents per day on average
Chain
Principle Long Term Care40 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0670255Thames Healthcare Group, Dba2607 Main Street, Benton, KY 42025Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Individual Indirect Ownership Interest Jan 1, 2011 1.32%
Raymond Gregg Hill Individual 5% Or Greater Indirect Ownership InterestOwner/Board Member Jan 1, 2011 18.47%
Adp of the SNF Jan 1, 2011
Robert O'Neil Hill Individual 5% Or Greater Indirect Ownership InterestOwner/Board Member Jan 1, 2011 20.6%
Adp of the SNF Jan 1, 2011
Individual Indirect Ownership Interest Jan 1, 2011 1.54%
Stephen Britt Hill Individual 5% Or Greater Indirect Ownership InterestOwner/Board Member Jan 1, 2011 20.02%
Adp of the SNF Jan 1, 2011
Randall McClellan Individual Adp of the SNF Jul 1, 2025
David R Zetter Individual Adp of the SNF Feb 1, 2023
Gale R Boice Individual Corporate OfficerCfo Mar 5, 2018
Adp of the SNF Mar 5, 2018
Individual Indirect Ownership Interest Jan 1, 2011 1.42%
Individual Indirect Ownership Interest Jan 1, 2011 1.54%
Dianne Johnson Individual Corporate OfficerDirector of Finance Jan 1, 2011
Individual Indirect Ownership Interest Jan 1, 2011 1.42%
Individual Indirect Ownership Interest Jan 1, 2011 1.54%
Individual Indirect Ownership Interest Jan 1, 2011 1.42%
Principle Long Term Care, Inc. Organization, Kinston, NC Corporation, Management services company, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2011 50%
Operational/Managerial Control Jan 1, 2011
Individual Indirect Ownership Interest Jan 1, 2011 1.32%
Individual Indirect Ownership Interest Jan 1, 2011 1.32%
Lynn Hood Individual Operational/Managerial ControlCeo Nov 8, 2017
Individual Indirect Ownership Interest Jan 1, 2011 1.32%
Principle It Services, Inc. Organization, Kinston, NC Created for acquisition, Corporation, For-profit 5% Or Greater Direct Ownership Interest Aug 10, 2010 50%
Individual Indirect Ownership Interest Jan 1, 2011 1.32%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 43

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

View all 43

Practitioners & affiliated clinicians

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1447295548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420250385",
            "telephone_number": "270-527-3296",
            "fax_number": "270-527-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 MAIN ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257601",
            "telephone_number": "270-527-3296",
            "fax_number": "270-527-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAMES HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "10514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100169230",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501029",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lakeway Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeway Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.