Phelps Ky Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PHELPS KY OPCO LLC

Doing business as

Good Shepherd Health and Rehabilitation

Practice address

60 Phillips Branch Rd
Phelps, KY 41553-9061

Phone

(646) 649-1131

NPI assigned

Aug 28, 2019

Last updated

Feb 8, 2023By 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

David Herskowitz

Title

Ceo

Phone

(212) 444-1991

Specialties & licenses 1

Addresses

Other names 1

• Good Shepherd Health and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477101889. Details of each certification follow.

• CCN 185222 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185222

Legal name

PHELPS KY OPCO LLC

Doing business as

GOOD SHEPHERD HEALTH AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 27, 1990

Last certification

Sep 13, 2024

Beds

118

Ownership / control type

Partnership

Most recent change of ownership

Jan 1, 2010

Organization structure

LLCProprietary

Incorporated

Aug 28, 2019 in DE

Enrollment address

60 Phillips Branch Rd
Phelps, KY 41553-9061

Nursing home name

GOOD SHEPHERD HEALTH AND REHABILITATION

Affiliated entity

PLAINVIEW HEALTHCARE PARTNERS

Listed as

Good Shepherd Health and RehabilitationCCN 185222 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Dec 27, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11886.7 residents per day on average

Chain

Plainview Healthcare Partners9 facilities in the chain

Penalties (3 years)

4Fines totaling $29,852

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• Pallaki D Ravi, M.D.

  • Family Medicine Physician
  • Danville, KY
  • NPI 1053631804

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Pallaki D Ravi, M.D.

  • Family Medicine Physician
  • Danville, KY
  • NPI 1053631804
  NPD (past)

Affiliated clinicians 1

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

• Pallaki D Ravi, M.D.

  • Family Medicine Physician
  • Danville, KY
  • NPI 1053631804

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1477101889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 37TH ST STE 605",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PHILLIPS BRANCH RD",
            "city": "PHELPS",
            "state": "KY",
            "postal_code": "415539061",
            "telephone_number": "646-649-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS KY OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "HERSKOWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-444-1991"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Addisyn Quinn Lucas
• Mansoor Mahmood
• Robert Sean McGuirk, OTR/L
• Rina Dawn McNutt, COTA/L
• One Call Medical and Telehealth
• Presbyterian Homes and Services of Kentucky, Inc (Good Shepherd Community Nursing Center)
• Lee Ingal Restar, P.T.
• James Donith Sanders X, M.S., CCC/SLP
• Sound Mind Counseling, LLC
• Danielle Marie Sperow, COTA

• Skilled Nursing Facility in Phelps, KY
• Providers in Phelps, 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 Feb 8, 2023; 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.

Verify at the official NPI Registry.