Organization Active NPI

Bardstown Medical Investors Limited

Doing business as Life Care Center of Bardstown

  • Skilled Nursing Facility
  • Bardstown, KY
National Provider Identifier
1700823549
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100489 Issued in KY
Legal business name
BARDSTOWN MEDICAL INVESTORS LIMITED
Doing business as
Life Care Center of Bardstown
Practice address
120 Life Care Way
Bardstown, KY 40004-2059
Phone
(502) 348-4220
Fax
(502) 349-0900
NPI assigned
Jun 1, 2006
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Cindy S Cross
Title
Asst. Secretary for Lcca, Manager
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100489 KY Primary

Addresses

Primary practice location

120 Life Care Way
Bardstown, KY 40004-2059

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
12500799MedicaidKY

Other names 1

  • Life Care Center of Bardstown Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1700823549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LIFE CARE WAY",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042059",
            "telephone_number": "502-348-4220",
            "fax_number": "502-349-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDSTOWN MEDICAL INVESTORS LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASST. SECRETARY FOR LCCA, MANAGER",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12500799",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Center of Bardstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.