NPIMap

Organization Active NPI

Healthpoint Family Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nicholasville, KY
National Provider Identifier
1629405295
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTHPOINT FAMILY CARE, INC.
Practice address
101 Orchard Dr
Nicholasville, KY 40356-2690
Phone
(859) 655-6100
Fax
(859) 655-6148
NPI assigned
Sep 27, 2013
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHPOINT FAMILY CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Sally Sprinkle-Jordan
Title
Ceo
Phone
(859) 655-6127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

101 Orchard Dr
Nicholasville, KY 40356-2690

Mailing address

215 E. 11TH St.
Newport, KY 41071-3313
Phone (859) 655-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140129000821 KY Part A Provider - Federally Qualified Health Center (FQHC) 9638089642 Practice locations: Nicholasville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629405295. Details of each certification follow.

Federally qualified health center certification: CCN 181910

Legal name
HEALTHPOINT FAMILY CARE, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 29, 2014
Last certification
Jan 29, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 21, 1988 in KY
Enrollment address
101 Orchard Dr
Nicholasville, KY 40356-2690

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
18D0988866Healthpoint Family Care Inc101 Orchard Drive, Nicholasville, KY 40356Provider-performed microscopyJul 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
No Ky Family Health Ctr8 organizations share this tax ID, including this one
Part of
No Ky Family Health Ctr

Other organizations with this tax ID 7

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

Locations

1401 Madison Ave
Covington, KY 41011
Phone (606) 655-8034

215 E 11th St
Newport, KY 41071

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Robert Smith Individual Corporate DirectorBoard Member Feb 1, 2009
Wilma Anthony Individual Corporate DirectorBoard Member Dec 21, 2019
David F Lowe Individual Corporate OfficerChief Medical Officer Jan 1, 2018
Mark Palazzo Individual Corporate DirectorBoard Member Feb 1, 2012
Robert Schrichte Individual Corporate DirectorBoard Member Jan 1, 2015
Kim Dinsey-Read Individual Corporate DirectorBoard Member Jan 1, 2022
Noel Harilson Individual Corporate DirectorBoard Member Jan 1, 2022
Mary Hernandez Individual Corporate DirectorBoard Member Nov 1, 2009
Pamela Smallwood Individual Corporate OfficerChief Operations Officer Mar 27, 1995
Operational/Managerial ControlCoo Mar 27, 1995
Scott Malof Individual Corporate DirectorBoard Member Jan 1, 2015
Angela Brandford Individual Corporate DirectorBoard Member Jan 1, 2023
Robin Feltner Individual Corporate DirectorBoard Member Jan 1, 2023
Sally Sprinkle-Jordan Individual Corporate OfficerChief Executive Officer May 31, 2019
Dennis Fabiani Individual Corporate DirectorBoard Member Feb 1, 2003

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1629405295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E. 11TH ST.",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410713313",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ORCHARD DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562690",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPOINT FAMILY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHPOINT FAMILY CARE, INC.",
        "enumeration_date": "2013-09-27",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "SPRINKLE-JORDAN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-655-6127"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.