Active NPI
McKenzie Health Care, LLC
- Nursing Facility/Intermediate Care Facility
- Louisa, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- MCKENZIE HEALTH CARE, LLC
- Practice address
- 270 E Clayton LN
Louisa, KY 41230-8622 - Phone
- (606) 638-4586
- Fax
- (606) 638-0367
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David B. McKenzie
- Title
- Administrator
- Phone
- (606) 638-4586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
270 E Clayton LN
Louisa, KY 41230-8622
Mailing address
270 E Clayton LN
Louisa, KY 41230-8622
Phone (606) 638-4586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12502076 | Medicaid | KY |
Other names 1
- The Jordan Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120430000421 | KY | Part A Provider - Skilled Nursing Facility | 0042472557 | Practice locations: Louisa, KY |
Skilled nursing facility certification: CCN 185131
- Legal name
- MCKENZIE HEALTH CARE, LLC.
- Doing business as
- THE JORDAN CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 18, 1974
- Last certification
- Mar 5, 2020
- Beds
- 104
- Ownership / control type
- Corporation
- Multi-facility organization
- Venza Care
- Organization structure
- LLC
- Incorporated
- Dec 27, 2000 in KY
- Enrollment address
- 270 E Clayton LN
Louisa, KY 41230-8622 - Nursing home name
- JORDAN REHABILITATION AND HEALTHCARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Jordan Rehabilitation and Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 18, 1974
- Medicare certification status
- Active
- Certified beds
- 104
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Jan 1, 1977 | ||
| Beth Bailey | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 49.5% |
| Corporate Officer | Oct 1, 2020 | 50% | |
| Corporate Director | Oct 1, 2020 | 33% | |
| Managing Control - Governing Body | Oct 1, 2020 | ||
| Adp of the SNF | Oct 1, 2020 | ||
| Indirect Ownership Interest | Oct 1, 2020 | 49.5% | |
| Adp of the SNF | Jan 1, 1977 | ||
| Terry Bailey | Corporate Director | Oct 1, 2020 | 33% |
| Managing Control - Governing Body | Oct 1, 2020 | ||
| Adp of the SNF | Sep 16, 2025 | ||
| Adp of the SNF | Jan 1, 1977 | ||
| Adp of the SNF | Jan 1, 1977 | ||
| Adp of the SNF | Jan 1, 1977 | ||
| Adp of the SNF | Sep 16, 2025 | ||
| Adp of the SNF | Jan 1, 1977 | ||
| MHC Properties, LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2020 | 100% |
| Operational/Managerial Control | Oct 1, 2025 | ||
| Adp of the SNF | Oct 1, 2020 | ||
| Direct Ownership Interest | Oct 1, 2020 | 100% | |
| Mabel McKenzie Estate | Indirect Ownership Interest | Mar 9, 2025 | 0.28% |
| David W McKenzie | Corporate Officer | Oct 1, 2020 | 50% |
| Corporate Director | Oct 1, 2020 | 33% | |
| Managing Control - Governing Body | Oct 1, 2020 | ||
| Indirect Ownership Interest | Oct 1, 2020 | 0.72% | |
| Adp of the SNF | Jan 1, 1977 | ||
| Adp of the SNF | Jan 1, 1977 | ||
| Adp of the SNF | Jan 1, 1977 | ||
| Adp of the SNF | Jan 1, 1977 | ||
| Jeremy C Klein | Operational/Managerial Control | Dec 31, 2012 | |
| Adp of the SNF | Dec 31, 2012 | ||
| Adp of the SNF | Jan 1, 1977 | ||
| David B McKenzie | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 49.5% |
| Operational/Managerial Control | Dec 31, 2012 | ||
| Adp of the SNF | Dec 31, 2012 | ||
| Indirect Ownership Interest | Oct 1, 2020 | 49.5% | |
| Adp of the SNF | Jan 1, 1977 | ||
| Adp of the SNF | Jan 1, 1977 | ||
| Terry Skaggs | Adp of the SNF | Jan 1, 2008 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Louisa, KY
- NPI 1922178052
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Louisa, KY
- NPI 1922178052
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388966400000",
"number": "1700960820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 E CLAYTON LN",
"city": "LOUISA",
"state": "KY",
"postal_code": "412308622",
"telephone_number": "606-638-4586",
"fax_number": "606-638-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 E CLAYTON LN",
"city": "LOUISA",
"state": "KY",
"postal_code": "412308622",
"telephone_number": "606-638-4586",
"fax_number": "606-638-0367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKENZIE HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2014-01-06",
"status": "A",
"authorized_official_last_name": "MCKENZIE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "606-638-4586",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12502076",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Jordan Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.