NHC Healthcare-Madisonville LLC

Organization Active NPI Skilled Nursing Facility · Madisonville, KY

NPI 1770528523 · NPPES record last updated Dec 31, 2014

Key facts

NPI
1770528523
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
100185 (KY)
Legal business name
NHC HEALTHCARE-MADISONVILLE LLC
Practice address
419 N Seminary St
Madisonville, KY 42431-1515
Phone
(270) 821-5564
NPI assigned
Jun 17, 2006
Organization subpart
Yes
Parent organization (as reported)
NATIONAL HEALTHCARE CORPORATION

Authorized official

Name
Mike Neal
Title
Manager
Phone
(603) 736-9581

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Part of
National Healthcare Corporation

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100185 KY Yes

Addresses

Primary practice location

419 N Seminary St
Madisonville, KY 42431-1515

Mailing address

419 N Seminary St
Madisonville, KY 42431-1515
Phone (270) 821-5564

Other identifiers

IdentifierTypeStateIssuer
12504148MedicaidKY
037126000OtherFEDERAL BLACK LUNG
000000295499OtherKYANTHEM BLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 31, 2014.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1770528523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N SEMINARY ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311515",
            "telephone_number": "270-821-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N SEMINARY ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311515",
            "telephone_number": "270-821-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHC HEALTHCARE-MADISONVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL HEALTHCARE CORPORATION",
        "enumeration_date": "2006-06-17",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-736-9581"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504148",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "037126000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000295499",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

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Sources for this page

Verify at the official NPI Registry.