Active NPI
Bracken Ky Opco LLC
- Skilled Nursing Facility
- Augusta, KY
National Provider Identifier
1760123319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BRACKEN KY OPCO LLC
- Practice address
- 5269 Asbury Rd
Augusta, KY 41002-9215 - Phone
- (606) 756-2156
- NPI assigned
- Apr 6, 2022
- 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
- Aaron Kasper
- Title
- Member
- Phone
- (646) 450-6051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5269 Asbury Rd
Augusta, KY 41002-9215
Mailing address
5269 Asbury Rd
Augusta, KY 41002-9215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221021000474 | KY | Part A Provider - Skilled Nursing Facility | 6608242326 | Practice locations: Augusta, KY |
Skilled nursing facility certification: CCN 185344
- Legal name
- BRACKEN KY OPCO LLC
- Doing business as
- PERKINS COUNTRY MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 7, 1992
- Last certification
- Feb 20, 2025
- Beds
- 32
- Ownership / control type
- Corporation
- Multi-facility organization
- Lenox Senior Living
- Organization structure
- LLC
- Enrollment address
- 5269 Asbury Rd
Augusta, KY 41002-9215 - Nursing home name
- PERKINS COUNTRY MANOR
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Perkins Country Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 7, 1992
- Medicare certification status
- Active
- Certified beds
- 32
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Bracken Ky Propco LLC | Adp of the SNF | Sep 1, 2022 | |
| Leon Everett Butler | Operational/Managerial Control | May 1, 2025 | |
| Adp of the SNF | May 1, 2025 | ||
| Bracken Ky Opco Holdco LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2022 | 100% |
| Kayla Hay | Operational/Managerial Control | Sep 1, 2022 | |
| Adp of the SNF | Sep 1, 2022 | ||
| Aaron Kasper | Operational/Managerial Control | Sep 1, 2022 | |
| Adp of the SNF | Sep 1, 2022 | ||
| Indirect Ownership Interest | Sep 1, 2022 | 99.99% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1689754822
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1689754822
-
- Family Medicine Physician
- Foster, KY
- NPI 1801895396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746748800000",
"number": "1760123319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5269 ASBURY RD",
"city": "AUGUSTA",
"state": "KY",
"postal_code": "410029215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5269 ASBURY RD",
"city": "AUGUSTA",
"state": "KY",
"postal_code": "410029215",
"telephone_number": "606-756-2156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRACKEN KY OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-06",
"last_updated": "2025-05-09",
"certification_date": "2025-05-09",
"status": "A",
"authorized_official_last_name": "KASPER",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "646-450-6051"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.