Active NPI
Kenwood Health Center LLC
- Skilled Nursing Facility
- Richmond, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- KENWOOD HEALTH CENTER LLC
- Practice address
- 130 Meadowlark Dr
Richmond, KY 40475-2238 - Phone
- (859) 623-9472
- Fax
- (859) 625-3065
- NPI assigned
- Oct 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moshe Kelman
- Title
- Managing Member
- Phone
- (859) 623-9472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
130 Meadowlark Dr
Richmond, KY 40475-2238
Mailing address
130 Meadowlark Dr
Richmond, KY 40475-2238
Phone (859) 623-9472
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100583800 | Medicaid | KY | |
| 100321 | Other | KY | LICENSE |
Other names 1
- Kenwood Health and Rehabilitation Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.kenwoodhealthandrehabilitation.com/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181101000231 | KY | Part A Provider - Skilled Nursing Facility | 3577816925 | Practice locations: Richmond, KY |
Skilled nursing facility certification: CCN 185061
- Legal name
- KENWOOD HEALTH CENTER LLC
- Doing business as
- KENWOOD HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 1, 1976
- Last certification
- Jun 6, 2024
- Beds
- 93
- Ownership / control type
- Corporation
- Multi-facility organization
- Topaz
- Organization structure
- LLC
- Enrollment address
- 130 Meadowlark Dr
Richmond, KY 40475-2238 - Nursing home name
- KENWOOD HEALTH AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Kenwood Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Aug 1, 1976
- Medicare certification status
- Active
- Certified beds
- 93
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Samzil Holdings LLC | 5% Or Greater Indirect Ownership Interest | May 24, 2024 | 3.2% |
| Alexander Platschek | 5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 15% |
| 5% Or Greater Indirect Ownership Interest | May 24, 2024 | 24% | |
| Indirect Ownership Interest | May 24, 2024 | 1% | |
| Indirect Ownership Interest | May 24, 2024 | 3.6% | |
| Daniel R Stockdale | Operational/Managerial Control | Oct 16, 2023 | |
| Adp of the SNF | Oct 16, 2023 | ||
| Kentucky Health Holdings, LLC | 5% Or Greater Indirect Ownership Interest | May 24, 2024 | 4.4% |
| Adp of the SNF | May 24, 2024 | ||
| Kenwood Health Center Holdco, LLC | 5% Or Greater Direct Ownership Interest | May 24, 2024 | 100% |
| Goldie Platschek | 5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 24.5% |
| 5% Or Greater Indirect Ownership Interest | May 24, 2024 | 41.3% | |
| Moshe Kelman | 5% Or Greater Indirect Ownership Interest | May 24, 2024 | 3.2% |
| Operational/Managerial Control | Sep 1, 2018 | ||
| Managing Control - Governing Body | Sep 1, 2018 | ||
| Adp of the SNF | Sep 1, 2018 | ||
| Bethany H Smith | Operational/Managerial Control | Aug 25, 2023 | |
| Adp of the SNF | Aug 25, 2023 | ||
| Ky Magnolia, LLC | 5% Or Greater Indirect Ownership Interest | May 24, 2024 | 3.6% |
| Adp of the SNF | Jan 23, 2026 | ||
| Indirect Ownership Interest | May 24, 2024 | 3.6% | |
| Metropolitan Commercial Bank | 5% Or Greater Security Interest | Sep 1, 2018 | 100% |
| David Rubenstein | 5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 7% |
| 5% Or Greater Indirect Ownership Interest | May 24, 2024 | 11.2% | |
| Adp of the SNF | May 24, 2024 | ||
| Indirect Ownership Interest | May 24, 2024 | 4.4% | |
| Ggky Opco, LLC | 5% Or Greater Indirect Ownership Interest | May 24, 2024 | 41.3% |
| Cibc Bank USA | 5% Or Greater Security Interest | Sep 1, 2018 | 100% |
| Mehul a Suthar | Operational/Managerial Control | Sep 1, 2018 | |
| Adp of the SNF | Sep 1, 2018 | ||
| Spky Opco, LLC | Indirect Ownership Interest | May 24, 2024 | 24% |
| Benita B. Dickenson | Operational/Managerial Control | Sep 1, 2018 | 33% |
| The Goldie Platschek 2021 Family Trust | 5% Or Greater Indirect Ownership Interest | May 24, 2024 | 4.9% |
| Adp of the SNF | May 24, 2024 | ||
| Rubiweb Services Group USA, LLC | 5% Or Greater Indirect Ownership Interest | May 24, 2024 | 11.2% |
| Indirect Ownership Interest | May 24, 2024 | 11.2% | |
| Indirect Ownership Interest | May 24, 2024 | 3.2% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Richmond, KY
- NPI 1780942623
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Bowling Green, KY
- NPI 1780169060
Ggky Opco, LLC, Rubiweb Services Group USA, LLC
-
- Skilled Nursing Facility
- Springfield, KY
- NPI 1801371125
Ggky Opco, LLC, Kentucky Health Holdings, LLC, Ky Magnolia, LLC, Rubiweb Services Group USA, LLC, Samzil Holdings LLC, The Goldie Platschek 2021 Family Trust
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Richmond, KY
- NPI 1922180694
-
- Internal Medicine Physician
- Richmond, KY
- NPI 1780942623
Affiliated clinicians 2
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": "1538438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661990400000",
"number": "1831674134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MEADOWLARK DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752238",
"telephone_number": "859-623-9472",
"fax_number": "859-625-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MEADOWLARK DR",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752238",
"telephone_number": "859-623-9472",
"fax_number": "859-625-3065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENWOOD HEALTH CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-02",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "KELMAN",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "859-623-9472"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100583800",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "100321",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.kenwoodhealthandrehabilitation.com/",
"affiliation": "N",
"address_1": "130 Meadowlark Dr",
"city": "Richmond",
"state": "KY",
"country_code": "US",
"postal_code": "404752238",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Kenwood Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kenwood Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.