McCready Manor, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100946 Issued in KY

Legal business name

MCCREADY MANOR, INC

Practice address

1025 Robert Telford Dr
Richmond, KY 40475-1199

Phone

(859) 626-5200

Fax

(859) 626-5815

NPI assigned

Jan 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gilbert Shephard Shew, LNHA

Title

Chief Administrative Officer

Phone

(859) 626-5200

Specialties & licenses 1

Addresses

Other names 1

• Telford Terrace Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Skilled nursing facility certification: CCN 185451

Legal name

MCCREADY MANOR, INC

Doing business as

TELFORD TERRACE

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Nov 24, 2003

Last certification

Feb 24, 2023

Beds

26

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jun 15, 1992 in KY

Enrollment address

1025 Robert Telford Dr
Richmond, KY 40475-1199

Nursing home name

TELFORD TERRACE

Listed as

Telford TerraceCCN 185451

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

Non profit - Corporation

Certified

Nov 24, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2621.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

McCready Manor Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• McCready Manor, Inc

  • Home Health Agency
  • Richmond, KY
  • NPI 1942607593
  NPD tax ID

Locations

All disclosed owners & managing parties 10

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

Owners & managing parties with NPI records 1

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

• Dustin K Devers, DO

  • Family Medicine Physician
  • Paintsville, KY
  • NPI 1699989640

  Adp of the SNF, Corporate Director, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Dustin K Devers, DO

  • Family Medicine Physician
  • Paintsville, KY
  • NPI 1699989640

  Nursing home

  Care Compare affiliation
• John Paul Gillespie, MD

  • Internal Medicine Physician
  • Richmond, KY
  • NPI 1609984475

  Nursing home

  Care Compare affiliation
• Gaurang B Shah, M.D.

  • Internal Medicine Physician
  • Richmond, KY
  • NPI 1922180694

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649259334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ROBERT TELFORD DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751199",
            "telephone_number": "859-626-5200",
            "fax_number": "859-626-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ROBERT TELFORD DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751199",
            "telephone_number": "859-626-5200",
            "fax_number": "859-626-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCREADY MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEW",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "SHEPHARD",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "859-626-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telford Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McClellan Chiropractic Center, PSC
• Heather McClure, APRN
• Marianne McClure, PHD
• Scott McCool-Solis, DPT
• Katherine Nicole McCoy, BS
• McCready Manor, Inc
• Matthew McEwen, P.T., DPT
• Melissa McFaddin, LMFT
• Chasitie McGuire
• Brian E McKay, NURSE PRACTITIONER

• All providers in Richmond, KY
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.