NPIMap

Organization Active NPI

Hyden Nursing Home, LLC

  • Skilled Nursing Facility
  • Hyden, KY
National Provider Identifier
1609905272
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100624 Issued in KY
Legal business name
HYDEN NURSING HOME, LLC
Practice address
21040 US 421 South
Hyden, KY 41749
Phone
(606) 672-2940
Fax
(606) 672-4167
NPI assigned
Mar 2, 2007
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRST CORBIN LONG TERM CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mr. Terry Emanuel Forcht
Title
Member
Phone
(606) 528-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100624 KY Primary

Addresses

Primary practice location

21040 US 421 South
Hyden, KY 41749

Mailing address

PO Box 618
Hyden, KY 41749-0618
Phone (606) 672-2940

Other identifiers 3

IdentifierTypeStateIssuer
12505095MedicaidKY
078885500OtherFEDERAL BLACK LUNG
000000054843OtherANTHEM BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050819000491 KY Part A Provider - Skilled Nursing Facility 1456381300 Practice locations: Hyden, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609905272. Details of each certification follow.

Skilled nursing facility certification: CCN 185193

Legal name
HYDEN NURSING HOME, LLC
Doing business as
HYDEN HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 21, 1998
Last certification
Oct 24, 2024
Beds
94
Ownership / control type
Corporation
Most recent change of ownership
Mar 1, 2005
Organization structure
LLCProprietary
Incorporated
Feb 17, 2005 in KY
Enrollment address
21040 US 421 South
Hyden, KY 41749-8553
Nursing home name
HYDEN HEALTH AND REHABILITATION CENTER
Affiliated entity
SEKY HOLDING CO.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hyden Health and Rehabilitation CenterCCN 185193 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 21, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9483.5 residents per day on average
Chain
Seky Holding Co.9 facilities in the chain
Penalties (3 years)
1Fines totaling $5,346

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
18D0719341Hyden Nursing Home, LLC21040 US Highway 421 S, Hyden, KY 41749Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Terry E Forcht Individual 5% Or Greater Indirect Ownership Interest Jun 18, 2003 100%
Roger Alsip Individual Corporate OfficerManager Jan 1, 2011
Fcltc Holdings Inc Organization, Corbin, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 28, 2016
David Witt Individual Corporate OfficerManager Jan 1, 2011
Anita F Cornett Individual Contracted Managing EmployeeMD; Jan 1, 1993
Melissa Sparks Individual W-2 Managing EmployeeAdministrator Apr 8, 2020
Operational/Managerial ControlAdministrator Oct 23, 2014
Wesley Tipton Individual Corporate OfficerManager Aug 7, 2018
Seky Holding Co Organization, Corbin, KY Created for acquisition, Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 18, 2003 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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 2

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1609905272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "417490618",
            "telephone_number": "606-672-2940",
            "fax_number": "606-672-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21040 US 421 SOUTH",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "41749",
            "telephone_number": "606-672-2940",
            "fax_number": "606-672-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDEN NURSING HOME, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CORBIN LONG TERM CARE, INC.",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "FORCHT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "606-528-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12505095",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "078885500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000054843",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyden, KY

Sources for this page

Verify at the official NPI Registry.