Homestead Nursing Center of New Castle, Kentucky, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100435 Issued in KY

Legal business name

HOMESTEAD NURSING CENTER OF NEW CASTLE, KENTUCKY, LLC

Practice address

50 Adams Street
New Castle, KY 40050-3054

Phone

(502) 845-2861

Fax

(502) 845-1287

NPI assigned

Oct 12, 2006

Last updated

Oct 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Bowman

Title

President

Phone

(859) 272-6682

Specialties & licenses 5

Addresses

Other identifiers 3

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1619066776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "NEW CASTLE",
            "state": "KY",
            "postal_code": "400500329",
            "telephone_number": "502-845-2861",
            "fax_number": "502-845-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ADAMS STREET",
            "city": "NEW CASTLE",
            "state": "KY",
            "postal_code": "400503054",
            "telephone_number": "502-845-2861",
            "fax_number": "502-845-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD NURSING CENTER OF NEW CASTLE, KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-272-6682"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100435",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "100435",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KY",
            "license": "100435",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "100435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000225678",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12502282",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2705925000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Henry County Board of Education
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• Samantha Noel Jaggers, LMT
• Corbin Christine Jeffries, LCSW
• Ronald M Koff, MD
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• North Central District Health Dept. (Henry County Health Dept.)

• Skilled Nursing Facility in New Castle, KY
• Providers in New Castle, 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 Oct 2, 2007; 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.