Organization Active NPI

Kimes Nursing and Rehab, LLC

  • Skilled Nursing Facility
  • Athens, OH
National Provider Identifier
1497547590
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Dec 24, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.