NPIMap

Organization Active NPI

Mercy Health-Lourdes Hospital LLC

  • Home Health Agency
  • Paducah, KY
National Provider Identifier
1811967441
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
150101 Issued in KY
Legal business name
MERCY HEALTH-LOURDES HOSPITAL LLC
Practice address
225 Medical Center Dr Ste 203
Paducah, KY 42003-7907
Phone
(270) 415-3600
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Kimberly Ralston
Title
Director Payor Admin
Phone
(419) 996-5119

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 150101 KY Primary
Home Health Agency 251E00000X 1010108 IL

Addresses

Primary practice location

225 Medical Center Dr Ste 203
Paducah, KY 42003-7907

Mailing address

225 Medical Center Dr Ste 203
Paducah, KY 42003-7907
Phone (270) 415-3600

Other identifiers 1

IdentifierTypeStateIssuer
34007732MedicaidKY

Other names 1

  • Mercy Health Home Care Paducah Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209001113 KY Part B Supplier - Clinic/Group Practice 7315831666 Receives reassigned benefits from 14 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Benton, KY

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 23, 2024 Change of OwnershipThis provider was the seller Mercy Health - Home Care PaducahCCN 187100, KY, NPI 1235957168

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1811967441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 203",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037907",
            "telephone_number": "270-415-3600",
            "fax_number": "270-415-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 203",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037907",
            "telephone_number": "270-415-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-LOURDES HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR PAYOR ADMIN",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "150101",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34007732",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health Home Care Paducah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health Home Care Paducah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.