Wells Health Systems, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100158 Issued in KY

Legal business name

WELLS HEALTH SYSTEMS, INC.

Doing business as

Kensington Manor

Practice address

225 Saint John Rd
Elizabethtown, KY 42701-2918

Phone

(270) 769-3314

Fax

(270) 360-1185

NPI assigned

Jul 11, 2005

Last updated

Aug 22, 2020By 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

Mr. Terry Lynn Skaggs

Title

Cfo

Phone

(270) 926-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kensington Manor Doing business as

Tax ID family

Heritage Place3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Wells Health Systems, Inc.

  dba Heritage Place

  • Assisted Living Facility
  • Owensboro, KY
  • NPI 1326046640
  NPD tax ID
• Wells Health Systems, Inc.

  dba Senior Citizens

  • Skilled Nursing Facility
  • Madisonville, KY
  • NPI 1427056738
  NPD tax ID

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801894118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016185",
            "telephone_number": "270-926-9355",
            "fax_number": "270-684-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SAINT JOHN RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012918",
            "telephone_number": "270-769-3314",
            "fax_number": "270-360-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLS HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-926-9355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12503793",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kensington Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Carol Weaver, CADC1
• Hannah Lee Weaver, CSW
• Billie Jo Webb
• Deborah Webb, CADC
• Sarah Weeks
• Wellwoven LLC
• Kirsten West
• Carrie A Westbrook
• Madeline Michelle Whaley
• Jonathan Wheatley

• Skilled Nursing Facility in Elizabethtown, KY
• Providers in Elizabethtown, 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 Aug 22, 2020; 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.