Thames Healthcare Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100430 Issued in KY

Legal business name

THAMES HEALTHCARE GROUP, LLC

Doing business as

Rivers Edge Nursing and Rehabilitation Center

Practice address

6301 Bass Rd
Prospect, KY 40059-9384

Phone

(502) 228-8359

Fax

(502) 228-5469

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Karen G McDaniel

Title

President

Phone

(252) 523-9094

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Rivers Edge Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Thames Healthcare Group, LLC

  dba Lakeway Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Benton, KY
  • NPI 1447295548

  9739360926

  Same PAC ID
• Thames Healthcare Group, LLC

  dba Greenwood Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Bowling Green, KY
  • NPI 1740216225

  9739360926

  Same PAC ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlon R Chagua, M.D.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1407811870
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1730115189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 BASS RD",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599384",
            "telephone_number": "502-228-8359",
            "fax_number": "502-228-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BASS RD",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599384",
            "telephone_number": "502-228-8359",
            "fax_number": "502-228-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAMES HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2705895000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100168760",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KY",
            "identifier": "000000054459",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501250",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rivers Edge Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rivers Edge Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamella Buss Cassis MD PLLC (Cassis Dermatology & Aesthetics Center)
• Taylor Services
• Bailee Taylor
• Brigid Shea Taylor
• Tina Renee Tembeleska, M.S.,CCC-SLP
• Thomas R. Vivian DMD PLLC
• Deborah V. Thomas, EDD, APRN, BC
• Gregory Thomas, M.D.
• Janet Elizabeth Thorley, ARNP
• Thrive Care LLC

• Skilled Nursing Facility in Prospect, KY
• Providers in Prospect, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.