Organization Active NPI

RBRC, Inc.

Doing business as Rivers Bend Retirement Community

  • Skilled Nursing Facility
  • Kuttawa, KY
National Provider Identifier
1508831033
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100686 Issued in KY
Legal business name
RBRC, INC.
Doing business as
Rivers Bend Retirement Community
Practice address
300 Beech St
Kuttawa, KY 42055-6214
Phone
(270) 388-2868
Fax
(270) 388-2945
NPI assigned
Feb 20, 2006
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Mr. David T. Beaven
Title
Cfo
Phone
(270) 822-4218

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 20010207201 KY
Custodial Care Facility 311Z00000X 750050 KY
Skilled Nursing Facility 314000000X 100686 KY Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 100686 KY

Addresses

Primary practice location

300 Beech St
Kuttawa, KY 42055-6214

Mailing address

PO Box 127
Uniontown, KY 42461-0127
Phone (270) 822-4218

Other identifiers 3

IdentifierTypeStateIssuer
1233760001OtherKYPART B SUPPLIER NUMBER
43020726MedicaidKY
12503652MedicaidKY

Other names 1

  • Rivers Bend Retirement Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070807000024 KY Part A Provider - Skilled Nursing Facility 8921199977 Practice locations: Kuttawa, KY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1508831033. Details of each certification follow.

Skilled nursing facility certification: CCN 185410

Legal name
RBRC, INC.
Doing business as
RIVER'S BEND RETIREMENT COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jun 29, 1995
Last certification
Sep 8, 2023
Beds
40
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Guardian Foundation
Organization structure
CorporationNon-profit
Incorporated
Dec 19, 1997 in KY
Enrollment address
300 Beech St
Kuttawa, KY 42055-6214
Nursing home name
RIVER'S BEND RETIREMENT COMMUNITY

Outpatient physical therapy / speech pathology certification: CCN 186684

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RIVERS BEND RETIREMENT COMMUNITY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jan 7, 2015
Last certification
Jan 7, 2015
Ownership / control type
VOLUNTARY NON PROFIT OTHER THAN CHURCH
Facility address
300 Beech Street
Kuttawa, KY 42055

Care Compare: Nursing home

Medicare Care Compare
Listed as
River's Bend Retirement CommunityCCN 185410 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jun 29, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4036.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0907577Rivers Bend Retirement Community300 Beech St, Kuttawa, KY 42055Certificate of waiverOct 16, 2027
18D2201925Rivers Bend Retirement Community300 Beech St, Kuttawa, KY 42055Certificate of waiverNov 23, 2026
18D2202814Rivers Bend Retirement Community Assisted300 Beech Street, Kuttawa, KY 42055Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Stacey D Bullock Individual Contracted Managing EmployeeAdministrator Jan 18, 2018 100%
Operational/Managerial ControlAdministrator Jan 18, 2018 100%
William F Rowe Individual Corporate OfficerVP Nov 1, 2010
Mark a Waldrop Individual Corporate OfficerPresident Jan 1, 2021 100%
Corporate DirectorPresident Jan 1, 2021 100%
Arthur C Delozier Individual Corporate DirectorBoard MBR Jun 12, 2013
Gregory K Grove Individual Corporate DirectorBoard MBR Aug 11, 1994
Timothy a Duggan Individual Corporate DirectorBoard MBR Jul 1, 2010

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.

Affiliated clinicians 3

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": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1508831033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "UNIONTOWN",
            "state": "KY",
            "postal_code": "424610127",
            "telephone_number": "270-822-4218",
            "fax_number": "270-822-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BEECH ST",
            "city": "KUTTAWA",
            "state": "KY",
            "postal_code": "420556214",
            "telephone_number": "270-388-2868",
            "fax_number": "270-388-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBRC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "BEAVEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-822-4218",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KY",
            "license": "20010207201",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "KY",
            "license": "750050",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100686",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KY",
            "license": "100686",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B SUPPLIER NUMBER",
            "identifier": "1233760001",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43020726",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12503652",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivers Bend Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kuttawa, KY

Sources for this page

Verify at the official NPI Registry.