NPIMap

Organization Active NPI

Robertson Manor LLC

Doing business as Robertson County Health Care Facility

  • Skilled Nursing Facility
  • Mount Olivet, KY
National Provider Identifier
1831188440
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100656 Issued in KY
Legal business name
ROBERTSON MANOR LLC
Doing business as
Robertson County Health Care Facility
Practice address
RR 2
Mount Olivet, KY 41064-9781
Phone
(606) 724-5020
Fax
(606) 724-5029
NPI assigned
Oct 17, 2005
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mrs. Kimberly Morrow
Title
VP of Administrative Support
Phone
(859) 623-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100656 KY Primary

Addresses

Primary practice location

RR 2
Mount Olivet, KY 41064-9781

Mailing address

300 Provider CT
Suite 100
Richmond, KY 40475-8488
Phone (859) 623-0898

Other identifiers 2

IdentifierTypeStateIssuer
90160763MedicaidKY
12504163MedicaidKY

Other names 1

  • Robertson County Health Care Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robertson County Health Care Facility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1831188440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROVIDER CT",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758488",
            "telephone_number": "859-623-0898",
            "fax_number": "859-623-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2",
            "city": "MOUNT OLIVET",
            "state": "KY",
            "postal_code": "410649781",
            "telephone_number": "606-724-5020",
            "fax_number": "606-724-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP OF ADMINISTRATIVE SUPPORT",
        "authorized_official_telephone_number": "859-623-0898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90160763",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504163",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robertson County Health Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Olivet, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.