Rollins Bedford Corporation

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

100299 Issued in KY

Legal business name

ROLLINS BEDFORD CORPORATION

Practice address

683 E 3Rd St
Russellville, KY 42276-1872

Phone

(270) 726-9049

Fax

(270) 726-8706

NPI assigned

Apr 20, 2007

Organization subpart

No

Name

Mr. Ronald M Wehtje

Title

VP Cfo

Phone

(407) 975-3010

Tax ID family

Leitchfield Health Care Manor4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Rollins Bedford Corporation

  • Skilled Nursing Facility
  • Leitchfield, KY
  • NPI 1285852954
  NPD tax ID
• Rollins Bedford Corporation

  • Skilled Nursing Facility
  • Princeton, KY
  • NPI 1427276104
  NPD tax ID
• Rollins Bedford Corporation

  • Skilled Nursing Facility
  • Mayfield, KY
  • NPI 1679791347
  NPD tax ID

• Russellville Health Care Manor Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2008.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1629296306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 COURTLAND ST",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041360",
            "telephone_number": "407-975-3000",
            "fax_number": "407-975-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 E 3RD ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761872",
            "telephone_number": "270-726-9049",
            "fax_number": "270-726-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLINS BEDFORD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "WEHTJE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "407-975-3010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "100299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12503736",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003948",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russellville Health Care Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Russellville, KY
• Nursing Facility/Intermediate Care Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.