Organization Active NPI

Hicks Enterprises of Monticello, LLC

Doing business as Hicks Golden Years Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Monticello, KY
National Provider Identifier
1639241433
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
100485 Issued in KY
Legal business name
HICKS ENTERPRISES OF MONTICELLO, LLC
Doing business as
Hicks Golden Years Nursing Home
Practice address
1801 W. Hwy. 90 by-Pass
Monticello, KY 42633
Phone
(606) 348-6034
Fax
(606) 348-6521
NPI assigned
Nov 15, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Darrell W. Hicks
Title
Administrator
Phone
(606) 348-6034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 100485 KY Primary

Addresses

Primary practice location

1801 W. Hwy. 90 by-Pass
Monticello, KY 42633

Mailing address

1801 W. Hwy. 90 by-Pass
Monticello, KY 42633
Phone (606) 348-6034

Other identifiers 1

IdentifierTypeStateIssuer
12504775MedicaidKY

Other names 1

  • Hicks Golden Years Nursing Home Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639241433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W. HWY. 90 BY-PASS",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "42633",
            "telephone_number": "606-348-6034",
            "fax_number": "606-348-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W. HWY. 90 BY-PASS",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "42633",
            "telephone_number": "606-348-6034",
            "fax_number": "606-348-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKS ENTERPRISES OF MONTICELLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-348-6034",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "100485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504775",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hicks Golden Years Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hicks Golden Years Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.