Active NPI
Thames Healthcare Group, LLC
Doing business as Lakeway Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Benton, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 10514
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100169230 | Medicaid | KY | |
| 12501029 | Medicaid | KY |
Other names 1
- Lakeway Nursing and Rehabilitation Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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).
-
dba Rivers Edge Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Prospect, KY
- NPI 1730115189
9739360926
-
dba Greenwood Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Bowling Green, KY
- NPI 1740216225
9739360926
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lake Way Rehabilitation and Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 9, 1991
- Medicare certification status
- Active
- Certified beds
- 96
- Chain
- Principle Long Term Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0670255 | Thames Healthcare Group, Dba | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Indirect Ownership Interest | Jan 1, 2011 | 1.32% | |
| Raymond Gregg Hill | 5% Or Greater Indirect Ownership Interest | Jan 1, 2011 | 18.47% |
| Adp of the SNF | Jan 1, 2011 | ||
| Robert O'Neil Hill | 5% Or Greater Indirect Ownership Interest | Jan 1, 2011 | 20.6% |
| Adp of the SNF | Jan 1, 2011 | ||
| Indirect Ownership Interest | Jan 1, 2011 | 1.54% | |
| Stephen Britt Hill | 5% Or Greater Indirect Ownership Interest | Jan 1, 2011 | 20.02% |
| Adp of the SNF | Jan 1, 2011 | ||
| Randall McClellan | Adp of the SNF | Jul 1, 2025 | |
| David R Zetter | Adp of the SNF | Feb 1, 2023 | |
| Gale R Boice | Corporate Officer | Mar 5, 2018 | |
| Adp of the SNF | Mar 5, 2018 | ||
| Indirect Ownership Interest | Jan 1, 2011 | 1.42% | |
| Indirect Ownership Interest | Jan 1, 2011 | 1.54% | |
| Dianne Johnson | Corporate Officer | Jan 1, 2011 | |
| Indirect Ownership Interest | Jan 1, 2011 | 1.42% | |
| Indirect Ownership Interest | Jan 1, 2011 | 1.54% | |
| Indirect Ownership Interest | Jan 1, 2011 | 1.42% | |
| Principle Long Term Care, Inc. | 5% Or Greater Direct Ownership Interest | Jan 1, 2011 | 50% |
| Operational/Managerial Control | Jan 1, 2011 | ||
| Indirect Ownership Interest | Jan 1, 2011 | 1.32% | |
| Indirect Ownership Interest | Jan 1, 2011 | 1.32% | |
| Lynn Hood | Operational/Managerial Control | Nov 8, 2017 | |
| Indirect Ownership Interest | Jan 1, 2011 | 1.32% | |
| Principle It Services, Inc. | 5% Or Greater Direct Ownership Interest | Aug 10, 2010 | 50% |
| 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.
-
dba Somerwoods Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Somerset, KY
- NPI 1033145529
Principle It Services, Inc., Principle Long Term Care, Inc.
-
dba Mountain View Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Pineville, KY
- NPI 1578599023
Principle It Services, Inc., Principle Long Term Care, Inc.
-
dba Greenwood Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Bowling Green, KY
- NPI 1740216225
Principle It Services, Inc., Principle Long Term Care, Inc.
-
dba Berry Hill Nursing Home
- Skilled Nursing Facility
- South Boston, VA
- NPI 1649215252
Principle Long Term Care, Inc.
-
dba Barbour Court Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Smithfield, NC
- NPI 1225064777
Principle It Services, Inc., Principle Long Term Care, Inc.
-
dba Willow Creek Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Goldsboro, NC
- NPI 1508802497
Principle It Services, Inc., Principle Long Term Care, Inc.
-
dba Continuum II Home Care & Hospice of Pender County
- Community Based Hospice Care Agency
- Hampstead, NC
- NPI 1457648909
Principle It Services, Inc., Principle Long Term Care, Inc.
-
dba Continuum Home Care & Hospice of Lenoir
- Community Based Hospice Care Agency
- Kinston, NC
- NPI 1619074937
Principle It Services, Inc., Principle Long Term Care, Inc.
-
dba Westwood Hills Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Wilkesboro, NC
- NPI 1184650541
Principle It Services, Inc., Principle Long Term Care, Inc.
-
dba Franklin Oaks Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Louisburg, NC
- NPI 1376570275
Principle It Services, Inc., Principle Long Term Care, Inc.
-
dba Kerr Lake Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Henderson, NC
- NPI 1972547321
Principle It Services, Inc., Principle Long Term Care, Inc.
-
dba Springbrook Nursing and Rehabilitation
- Skilled Nursing Facility
- Clayton, NC
- NPI 1003205337
Principle It Services, Inc., Principle Long Term Care, Inc.
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.
-
- General Practice Physician
- Arlington, KY
- NPI 1598711756
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
- Noah Steele, OT
- Sterling Emergency Services of the Midwest, Inc (Marshall County Emergency Department)
- Stuart a Naulty DPM
- Swis Purchase, LLC (Purchase Youth Village)
- Travis Terrell, LPCC
- Gretta Nicole Thomasson, APRN
- Emily Joelle Thompson
- Dana M Todd, FNP
- Michael B Travis, D.C.
- Hannah Ellen Turner, M.S.,CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.