FS Lexington Tenant Trust

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100527 Issued in KY

Legal business name

FS LEXINGTON TENANT TRUST

Practice address

700 Mason Headley Road
Lexington, KY 40504-2326

Phone

(859) 259-3486

Fax

(859) 276-2751

NPI assigned

May 24, 2006

Organization subpart

Yes

Parent organization

FS LEXINGTON TENANT TRUSTAs reported in NPPES

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

Authorized official

Name

Katherine E Potter

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lexington Country Place Doing business as

Part of

FS Lexington Tenant Trust

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1831144112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MASON HEADLEY ROAD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042326",
            "telephone_number": "859-259-3486",
            "fax_number": "859-276-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MASON HEADLEY ROAD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042326",
            "telephone_number": "859-259-3486",
            "fax_number": "859-276-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS LEXINGTON TENANT TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FS LEXINGTON TENANT TRUST",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504262",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Country Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lexington Country Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Frye
• Jessica A Frye, BSW
• Kendra Frye
• Lori May Frye
• Matthew Frye
• Angela Fu
• Melanie Mrzljak Fucci, PA
• George J Fuchs III, MD
• Rodrigo Fuentealba Hidalgo, DDS
• Robert Fueston, L.AC.

• All providers in Lexington, KY
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.