Active NPI
One Senior Care Kentucky, LLC
- PACE Provider Organization
- Pikeville, KY
National Provider Identifier
1689414294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- ONE SENIOR CARE KENTUCKY, LLC
- Practice address
- 419 Town Mountain Rd
Pikeville, KY 41501-1631 - Phone
- (606) 727-2690
- NPI assigned
- May 30, 2024
- Organization subpart
- Yes
- Parent organization
- ONE SENIOR CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery Phillips
- Title
- Sole Member
- Phone
- (814) 456-5433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | Primary |
Addresses
Primary practice location
419 Town Mountain Rd
Pikeville, KY 41501-1631
Mailing address
100 State St Ste 200
Erie, PA 16507-1454
Phone (814) 456-5433
Other practice location 1
14892 N US Highway 25 E
Corbin, KY 40701-6189
Phone (606) 727-2690
Other names 2
- Mountain View PACE
- One Senior Care, Inc.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2294404 | Mountain View Pace Pikeville | Certificate of waiver | Nov 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
14892 N US Highway 25 E
Corbin, KY 40701
Phone (606) 727-2690
419 Town Mountain Rd
Pikeville, KY 41501
Phone (606) 432-1403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717027200000",
"number": "1689414294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 STATE ST STE 200",
"city": "ERIE",
"state": "PA",
"postal_code": "165071454",
"telephone_number": "814-456-5433",
"fax_number": "814-454-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 TOWN MOUNTAIN RD",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011631",
"telephone_number": "606-727-2690"
}
],
"practiceLocations": [
{
"address_1": "14892 N US Highway 25 E",
"address_purpose": "LOCATION",
"city": "Corbin",
"state": "KY",
"postal_code": "407016189",
"country_code": "US",
"telephone_number": "606-727-2690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ONE SENIOR CARE KENTUCKY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ONE SENIOR CARE, INC.",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "JEFFERY",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "814-456-5433"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain View PACE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "One Senior Care, Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.