Organization Active NPI

Grayson Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Leitchfield, KY
National Provider Identifier
1457068199
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GRAYSON NURSING & REHABILITATION CENTER LLC
Practice address
505 William Thomason Byway
Leitchfield, KY 42754
Phone
(270) 259-3676
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Mayer Fischi
Title
Owner/Managing Member
Phone
(718) 757-6399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

505 William Thomason Byway
Leitchfield, KY 42754

Mailing address

300 Provider Court
Richmond, KY 40475

Other names 1

  • Grayson Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318002538 KY Part A Provider - Skilled Nursing Facility 5698112340 Practice locations: Leitchfield, KY

Skilled nursing facility certification: CCN 185177

Legal name
GRAYSON NURSING & REHABILITATION CENTER LLC
Doing business as
GRAYSON NURSING AN DREHAB CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 19, 1985
Last certification
Nov 21, 2024
Beds
72
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Encore Health Partners
Organization structure
LLCProprietary
Enrollment address
505 William Thomason Byu
Leitchfield, KY 42754-1419
Nursing home name
GRAYSON NURSING AND REHAB CENTER
Affiliated entity
ENCORE HEALTH PARTNERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Grayson Nursing and Rehab CenterCCN 185177
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 19, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7270.1 residents per day on average
Chain
Encore Health Partners12 facilities in the chain
Penalties (3 years)
5Fines totaling $12,235

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 34

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

NameRoleSinceShare
Baldwin Cpas PLLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
Mayer Fischel Individual Corporate OfficerCfo Oct 20, 2023 100%
Operational/Managerial Control Oct 20, 2023
Adp of the SNF Oct 20, 2023
Timothy Eldridge Individual Adp of the SNF Oct 20, 2023
Kelly Stone Individual Adp of the SNF Oct 20, 2023
Encore Health Partners 2 LLC Organization, Richmond, KY LLC, Management services company, Consulting firm Operational/Managerial Control Oct 20, 2023
Adp of the SNF Apr 16, 2025
Hargis & Associates, LLC Organization, Russellville, KY LLC, Consulting firm Adp of the SNF Jan 1, 2022
Cbre Capital Markets Inc Organization, Houston, TX Corporation, Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 20, 2023 50%
Sarah Zoberman Individual Adp of the SNF Oct 20, 2023
Indirect Ownership Interest Oct 20, 2023 2.5%
Myron Fisher Individual Adp of the SNF Oct 20, 2023
Sarah McIntosh Individual Adp of the SNF Jan 1, 2022
Forwood E Hargis Individual Adp of the SNF Jan 1, 2024
Leon Everett Butler Individual Adp of the SNF Oct 20, 2023
David Bloom Individual Adp of the SNF Oct 20, 2023
Indirect Ownership Interest Oct 20, 2023 5%
Christopher Hatcher Individual Adp of the SNF Oct 20, 2023
Balt M4 LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
Perigrove 1034 LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
J&R KC Derby Ky Family Investments LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
J & R Family Investments, LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
Melinda Fulkerson Individual Operational/Managerial Control Oct 20, 2023
Adp of the SNF Oct 20, 2023
Beth Overbey Individual Adp of the SNF Oct 20, 2023
505 William Thomason Byway Realty LLC Organization, Richmond, KY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 20, 2023 100%
Adp of the SNF Oct 20, 2023
Eli Grinspan Individual 5% Or Greater Indirect Ownership Interest Oct 20, 2023 72.5%
Corporate OfficerCeo Oct 20, 2023 100%
Operational/Managerial Control Oct 20, 2023
Managing Control - Governing BodyCeo Oct 20, 2023
Adp of the SNF Oct 20, 2023
KC Derby Ky Partners LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
David Rubenstein Individual Adp of the SNF Oct 20, 2023
David Gefner Individual Adp of the SNF Oct 20, 2023
Lisa Foley Individual Adp of the SNF Oct 20, 2023
Encore Realty 2 LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
KC Derby Ky Parent LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
Landau Family Investment Trust Organization, Richmond, KY Adp of the SNF Oct 20, 2023
Isaac Grinspan Individual Adp of the SNF Oct 20, 2023
Encore Parent Holdings LLC Organization, Richmond, KY Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 20, 2023 100%
Gefner Family Holding LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023
Encore Investors 2 LLC Organization, Richmond, KY Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 20, 2023 100%
KC Derby Ky JV LLC Organization, Richmond, KY LLC Adp of the SNF Oct 20, 2023

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 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1457068199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROVIDER COURT",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475"
        },
        {
            "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": "42754",
            "telephone_number": "270-259-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "FISCHI",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "718-757-6399"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grayson Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leitchfield, KY

Sources for this page

Verify at the official NPI Registry.