Fordsville Health Facilities LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FORDSVILLE HEALTH FACILITIES LP

Doing business as

Fordsville Nursing and Rehabilitation Center

Practice address

313 W Main St
Fordsville, KY 42343-9763

Phone

(270) 276-3603

Fax

(270) 276-3031

NPI assigned

May 20, 2012

Last updated

Nov 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie L Collier

Title

Director of Reimbursement

Phone

(972) 931-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fordsville Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1679833032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934823",
            "telephone_number": "972-931-3800",
            "fax_number": "972-767-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W MAIN ST",
            "city": "FORDSVILLE",
            "state": "KY",
            "postal_code": "423439763",
            "telephone_number": "270-276-3603",
            "fax_number": "270-276-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDSVILLE HEALTH FACILITIES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-20",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "972-931-3800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100246990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fordsville Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Marie Aud, SLP
• Jimmy Dale Brannon, COTA,L
• Extendicare Homes, Inc. (Fordsville Nursing & Rehabilitation Center)
• Fordsville Opco LLC (Fordsville Nursing and Rehabilitation Center)
• Green River District Health Department (Fordsville Elementary School Health Clinic)
• Anita Jo Hall, PTA
• Angel Justice O'Quinn, D.O.
• Ohio County Hospital Corporation (Fordsville Area Medical Clinic)

• Skilled Nursing Facility in Fordsville, KY
• Providers in Fordsville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.