Active NPI
Kimes Nursing and Rehab, LLC
- Skilled Nursing Facility
- Athens, OH
National Provider Identifier
1497547590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- KIMES NURSING AND REHAB, LLC
- Practice address
- 75 Kimes LN
Athens, OH 45701-3899 - Phone
- (740) 593-3391
- NPI assigned
- May 22, 2025
- 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
- Li Borucki Prado
- Title
- DRCM
- Phone
- (254) 224-2616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
75 Kimes LN
Athens, OH 45701-3899
Mailing address
2121 Lohmans Crossing Rd Ste 504-879
Austin, TX 78734-5217
Phone (254) 224-2616
National Provider Directory
National Provider DirectoryLocations
1291 Worthington Woods Blvd
Columbus, OH 43085
2121 Lohmans Crossing Rd
Ste 504879
Austin, TX 78734
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lancaster, OH
- NPI 1740252923
-
- Family Medicine Physician
- Lancaster, OH
- NPI 1023080298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766534400000",
"number": "1497547590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 LOHMANS CROSSING RD STE 504-879",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787345217",
"telephone_number": "254-224-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 KIMES LN",
"city": "ATHENS",
"state": "OH",
"postal_code": "457013899",
"telephone_number": "740-593-3391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMES NURSING AND REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-22",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A",
"authorized_official_last_name": "BORUCKI PRADO",
"authorized_official_first_name": "LI",
"authorized_official_title_or_position": "DRCM",
"authorized_official_telephone_number": "254-224-2616"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.