Organization Active NPI

Henson SNF Operations LLC

Doing business as Henson Park Health & Rehabilitation

  • Skilled Nursing Facility
  • Danville, KY
National Provider Identifier
1790594182
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HENSON SNF OPERATIONS LLC
Doing business as
Henson Park Health & Rehabilitation
Practice address
203 Bruce CT
Danville, KY 40422-1948
Phone
(859) 236-9292
NPI assigned
Dec 31, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Dillion Carver
Title
Regional Director of Operations
Phone
(270) 784-4469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

203 Bruce CT
Danville, KY 40422-1948

Mailing address

203 Bruce CT
Danville, KY 40422-1948
Phone (859) 236-9292

Other names 1

  • Henson Park Health & Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627000711 KY Part A Provider - Skilled Nursing Facility 8426561002 Practice locations: Danville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790594182. Details of each certification follow.

Skilled nursing facility certification: CCN 185264

Legal name
HENSON SNF OPERATIONS LLC
Doing business as
HENSON PARK HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 20, 1991
Last certification
Jun 12, 2024
Beds
90
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Lyon Healthcare
Organization structure
LLCProprietary
Enrollment address
203 Bruce CT
Danville, KY 40422-1948
Nursing home name
HENSON PARK HEALTH & REHABILITATION
Affiliated entity
LYON HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Henson Park Health & RehabilitationCCN 185264 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 20, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9079.1 residents per day on average
Chain
Lyon Healthcare11 facilities in the chain
Penalties (3 years)
17Fines totaling $350,786

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 48

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ky 10 SNF Operations Holdings LLC Organization, Woodmere, NY LLC, Holding company 5% Or Greater Direct Ownership Interest Jan 2, 2025 100%
Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 2, 2025
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Staci Lehman Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Organization, Woodmere, NY LLC, Holding company Adp of the SNF Jun 27, 2025
Indirect Ownership Interest Jan 1, 2025 2.5%
Siky Trust Organization, Las Vegas, NV 5% Or Greater Indirect Ownership Interest Jan 1, 2025 21.5%
Adp of the SNF Jun 27, 2025
MJL 2024 Family Trust Organization, West Hempstead, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2025 1.25%
Adp of the SNF Jun 27, 2025
Ky10 SNF Opco Manager LLC Organization, Louisville, KY LLC Operational/Managerial Control Jan 1, 2025
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Icontrust, LLC Organization, Las Vegas, NV Adp of the SNF Jun 27, 2025
Individual Indirect Ownership Interest Jan 1, 2025 0.12%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
LTC Consulting Services LLC Organization, Lakewood, NJ LLC Adp of the SNF Jan 1, 2025
Roth & Co, LLP Organization, Brooklyn, NY Consulting firm Adp of the SNF Jan 1, 2025
Dillion C Carver Individual Operational/Managerial Control Jan 1, 2025
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Ssky Trust Organization, Las Vegas, NV 5% Or Greater Indirect Ownership Interest Jan 1, 2025 20.75%
Adp of the SNF Jun 27, 2025
JNL 2024 Fam TR Organization, West Hempstead, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2025 1.25%
Adp of the SNF Jun 27, 2025
Ymb Holdings LLC Organization, Woodmere, NY LLC, Holding company 5% Or Greater Indirect Ownership Interest Jan 2, 2025 1%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
HVH Ky 10 SNF Consulting LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF Jan 1, 2025
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
JML 1836 Holdings LLC Organization, West Hempstead, NY LLC, Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2025 2.5%
Adp of the SNF Jun 27, 2025
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Epky Trust Organization, Las Vegas, NV 5% Or Greater Indirect Ownership Interest Jan 1, 2025 20.75%
Lion Ky Holdings LLC Organization, Woodmere, NY LLC, Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2025 41.5%
Shimon Idels Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Lyon Healthcare LLC Organization, Louisville, KY LLC, Consulting firm Adp of the SNF Jan 1, 2025
Michael Botwinick Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2025 1%
Organization, Woodmere, NY LLC Indirect Ownership Interest Jan 2, 2025 0.5%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Tziporah Schwartz 2017 Family Trust Organization, Woodmere, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2025 0.25%
Organization, Woodmere, NY LLC, Holding company Indirect Ownership Interest Jan 2, 2025 0.5%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Individual Indirect Ownership Interest Jan 1, 2025 0.5%
Hiky Trust Organization, Las Vegas, NV 5% Or Greater Indirect Ownership Interest Jan 1, 2025 21.5%
Adp of the SNF Jun 27, 2025
Joel a Schwartz 2017 Family Trust Organization, Woodmere, NY 5% Or Greater Indirect Ownership Interest Jan 1, 2025 0.25%
Troy Armstrong Individual Adp of the SNF Jan 1, 2025
BTF Ky Holdings LLC Organization, Woodmere, NY LLC, Holding company 5% Or Greater Indirect Ownership Interest Jan 1, 2025 43%
Adp of the SNF Jun 27, 2025
Tammy Workman Individual Operational/Managerial Control Jan 2, 2025
Managing Control - Governing BodyAdministrator Jan 1, 2025
Adp of the SNF Jan 2, 2025
Robert C Anderson Individual Operational/Managerial Control Mar 10, 2025
Managing Control - Governing BodyRegional Director of Operations Mar 10, 2025
Adp of the SNF Mar 10, 2025
Individual Indirect Ownership Interest Jan 1, 2025 0.5%

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1790594182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BRUCE CT",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221948",
            "telephone_number": "859-236-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BRUCE CT",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221948",
            "telephone_number": "859-236-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENSON SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "DILLION",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "270-784-4469"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henson Park Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.