NPIMap

Organization Active NPI

Oh Muhlenberg, LLC

  • Skilled Nursing Facility
  • Greenville, KY
National Provider Identifier
1649225210
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100734 Issued in KY
Legal business name
OH MUHLENBERG, LLC
Practice address
440 Hopkinsville St
Greenville, KY 42345-1124
Phone
(270) 338-8000
Fax
(270) 338-8278
NPI assigned
May 23, 2006
Last updated
Jan 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Mr. John Hackbarth Jr.
Title
Treasurer
Phone
(270) 417-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100734 KY Primary

Addresses

Primary practice location

440 Hopkinsville St
Greenville, KY 42345-1124

Mailing address

440 Hopkinsville St
PO Box 387
Greenville, KY 42345-1124
Phone (270) 338-8000

Other identifiers 2

IdentifierTypeStateIssuer
12501508MedicaidKY
7100489270MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150929003060 KY Part A Provider - Skilled Nursing Facility 2567770324 Practice locations: Greenville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649225210. Details of each certification follow.

Skilled nursing facility certification: CCN 185008

Legal name
OH MUHLENBERG LLC
Doing business as
OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL LONG TERM CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jan 9, 2025
Beds
45
Ownership / control type
Other Nonprofit
Organization structure
LLCNon-profit
Incorporated
Feb 20, 2015 in KY
Enrollment address
440 Hopkinsville St
Greenville, KY 42345-1124
Nursing home name
OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL LTC

Other NPIs with the same Medicare PAC ID 4

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

  • Oh Muhlenberg, LLC

    dba Owensboro Health Muhlenberg Community Hospital

    • General Acute Care Hospital
    • Greenville, KY
    • NPI 1407800436

    2567770324

    Same PAC ID
  • Oh Muhlenberg, LLC

    dba Owensboro Health Muhlenberg Community Hospital Family Medicine

    • Rural Health Clinic/Center
    • Powderly, KY
    • NPI 1700194388

    2567770324

    Same PAC ID
  • Oh Muhlenberg, LLC

    dba Owensboro Health Muhlenberg Community Hospital Emergency Medical Servi

    • Land Ambulance
    • Powderly, KY
    • NPI 1740235316

    2567770324

    Same PAC ID
  • Oh Muhlenberg, LLC

    dba Owensboro Health Muhlenberg Community Hospital Home Health

    • Home Health Agency
    • Greenville, KY
    • NPI 1912952599

    2567770324

    Same PAC ID

Care Compare: Nursing home

Medicare Care Compare
Listed as
Owensboro Health Muhlenberg Community Hospital LonCCN 185008 · All quality measures
Overall star rating
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4536.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Oh Muhlenberg LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Anthony McBride Individual Corporate DirectorChairman Nov 1, 2022
Russell S Ranallo Individual Corporate OfficerTreasurer Jun 20, 2022
Owensboro Health, Inc Organization, Owensboro, KY Non-profit Operational/Managerial Control May 1, 2014
Other Jul 1, 2015 100%
Edward Heath Individual Corporate OfficerCeo Jul 1, 2015
W-2 Managing EmployeeCeo Jul 1, 2015
Teresa Gardner Individual Corporate DirectorBoard Member Nov 1, 2021
Marshall E Prunty Individual Corporate DirectorBoard Member Nov 1, 2021
Mark a Marsh Individual Corporate OfficerPresident Jun 7, 2021
Archie Pollock Individual Corporate DirectorBoard Member Nov 1, 2021
Candace MC Brake Individual Corporate DirectorChairman Nov 1, 2022
Kathleen Mitchell Individual Corporate OfficerCno Jun 1, 2017
W-2 Managing EmployeeCno Jun 1, 2017
David Roberts Individual Corporate DirectorChairman Nov 1, 2022
Francis J. Dufrayne Individual Corporate DirectorBoard Member Nov 1, 2021

Owners & managing parties with NPI records 12

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

Facilities with the same owner 6

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1649225210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 HOPKINSVILLE ST",
            "address_2": "PO BOX 387",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451124",
            "telephone_number": "270-338-8000",
            "fax_number": "270-338-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HOPKINSVILLE ST",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451124",
            "telephone_number": "270-338-8000",
            "fax_number": "270-338-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH MUHLENBERG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "HACKBARTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "270-417-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501508",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100489270",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, KY

Sources for this page

Verify at the official NPI Registry.