N & R of Pimlico, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100492 Issued in KY

Legal business name

N & R OF PIMLICO, LLC

Doing business as

Pimlico Manor

Practice address

3576 Pimlico Pkwy
Lexington, KY 40517-3700

Phone

(859) 272-0608

Fax

(859) 272-1273

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John A. Vinson Jr.

Title

Cfo

Phone

(502) 254-9525

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Pimlico Manor Doing business as

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1518050657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 TOWNEPARK CIR",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432348",
            "telephone_number": "502-254-9525",
            "fax_number": "502-254-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 PIMLICO PKWY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173700",
            "telephone_number": "859-272-0608",
            "fax_number": "859-272-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N & R OF PIMLICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-9525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY TAX ID NUMBER",
            "identifier": "244321",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504437",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY UNEMPLOYMENT INSURANCE",
            "identifier": "7392681",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pimlico Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zin W. Myint, M.D
• Ryan Patrick Mynatt, PHARMD
• Deborah Ann Mynheer
• Patrick Joseph Myszak, CRNA
• N & R of Cambridge LLC
• Anika Naeem, M.D
• Premsai Nagabhyrava, MD, MPH
• Vaishnavi Divya Nagarajan, MD
• Laura Nagel, BCBA
• Julia Marie Nagle, MD

• Skilled Nursing Facility in Lexington, KY
• Providers in Lexington, 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 May 11, 2010; 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.