Organization Active NPI

One Senior Care Kentucky, LLC

  • PACE Provider Organization
  • Pikeville, KY
National Provider Identifier
1689414294
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2024

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)CodeLicenseStatePrimary
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 Doing business as
  • One Senior Care, Inc. Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2294404Mountain View Pace Pikeville419 Town Mountain Road, Suite 102, Pikeville, KY 41501Certificate of waiverNov 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.