Bedrock HC at Green Meadows LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEDROCK HC AT GREEN MEADOWS LLC

Practice address

310 Boxwood Run
Mount Washington, KY 40047-7143

Phone

(502) 955-7600

Fax

(502) 995-7395

NPI assigned

Feb 14, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth D Nichols

Title

Manager

Phone

(813) 777-4663

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leon Everett Butler Jr., M.D.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1689754822
  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1730645771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BOXWOOD RUN",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400477143",
            "telephone_number": "502-955-7600",
            "fax_number": "502-995-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BOXWOOD RUN",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400477143",
            "telephone_number": "502-955-7600",
            "fax_number": "502-995-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK HC AT GREEN MEADOWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-777-4663"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barger Drug
• Christopher Dale Barger, PHARMD
• Bautista Medical Clinic
• Constancio M Bautista, M.D.
• Stephanie Beaty
• Joseph Linn Bell, DMD
• Karyn Michele Bentley, MSN, APRN, FNP-BC
• Allison Bernard
• Beyond Talking Speech Therapy
• Stephen L Blanford, RPH

• Skilled Nursing Facility in Mt Washington, KY
• Providers in Mt Washington, 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 24, 2019; 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.