Charter Senior Living of Paducah

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHARTER SENIOR LIVING OF PADUCAH

Doing business as

Charter Senior Living of Paducah
Dominion Village at Poquoson

Practice address

2201 New Holt Rd
Paducah, KY 42001-7553

Phone

(270) 297-4301

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Cynthia Friedlin

Title

Business Office Manager

Phone

(757) 868-0335

Specialties & licenses 1

Addresses

Other names 2

• Charter Senior Living of Paducah Doing business as
• Dominion Village at Poquoson Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1689455297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017553",
            "telephone_number": "270-297-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017553",
            "telephone_number": "270-297-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER SENIOR LIVING OF PADUCAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "FRIEDLIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "757-868-0335"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charter Senior Living of Paducah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dominion Village at Poquoson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Paducah, KY
• Providers in Paducah, KY by specialty
• Assisted Living Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.