NPIMap

Organization Active NPI

Morningside of Paducah, LLC

  • Assisted Living Facility
  • Paducah, KY
National Provider Identifier
1730127671
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
20010107303 Issued in KY
Legal business name
MORNINGSIDE OF PADUCAH, LLC
Practice address
1700 Elmdale Rd
Paducah, KY 42003-5517
Phone
(270) 534-9173
Fax
(270) 554-7126
NPI assigned
Jun 3, 2006
Organization subpart
Yes
Parent organization
MORNINGSIDE OF PADUCAH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Bruce J Mackey Jr.
Title
President & Chief Executive Officer
Phone
(617) 796-8214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 20010107303 KY Primary

Addresses

Primary practice location

1700 Elmdale Rd
Paducah, KY 42003-5517

Mailing address

400 Centre St
Newton, MA 02458-2094
Phone (617) 796-8387

Other names 1

  • Morningside of Paducah Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morningside of Kentucky Limited Partnership4 organizations share this tax ID, including this one
Part of
Morningside of Kentucky Limited Partnership

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1730127671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582094",
            "telephone_number": "617-796-8387",
            "fax_number": "617-796-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ELMDALE RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420035517",
            "telephone_number": "270-534-9173",
            "fax_number": "270-554-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSIDE OF PADUCAH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORNINGSIDE OF PADUCAH, LLC",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8214",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KY",
            "license": "20010107303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside of Paducah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.