NPIMap

Organization Active NPI

New Castleidence Opco, LLC

Doing business as New Castle Nursing & Rehab

  • Skilled Nursing Facility
  • New Castle, KY
National Provider Identifier
1841616372
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NEW CASTLEIDENCE OPCO, LLC
Doing business as
New Castle Nursing & Rehab
Practice address
50 Adams St
New Castle, KY 40050-3022
Phone
(502) 845-2861
NPI assigned
Mar 7, 2014
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
John Mitchell
Title
Secretary
Phone
(385) 988-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

50 Adams St
New Castle, KY 40050-3022

Mailing address

262 N University Ave
Farmington, UT 84025-2975

Other identifiers 1

IdentifierTypeStateIssuer
7100327730MedicaidKY

Other names 1

  • New Castle Nursing & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140824000076 KY Part A Provider - Skilled Nursing Facility 1052539699 Practice locations: New Castle, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841616372. Details of each certification follow.

Skilled nursing facility certification: CCN 185362

Legal name
NEW CASTLEIDENCE OPCO LLC
Doing business as
NEW CASTLE NURSING & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 29, 1992
Last certification
Jan 24, 2020
Beds
60
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Feb 3, 2014 in KY
Enrollment address
50 Adams St
New Castle, KY 40050-3022
Nursing home name
NEW CASTLE NURSING & REHAB
Affiliated entity
PACS GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
New Castle Nursing & RehabCCN 185362 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 29, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6054.1 residents per day on average
Chain
Pacs Group274 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0648415New Castle Nursing & Rehab50 Adams Street, New Castle, KY 40050Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason H Murray Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41.8%
John T Mitchell Individual Corporate OfficerSecretary Jan 1, 2024
David a Jones Individual Contracted Managing EmployeeMD; Nov 19, 2015
Austin Tate Individual W-2 Managing EmployeeAd; May 28, 2024
Frederick G Apt Individual Corporate OfficerTreasurer Jan 1, 2024
Providence Group of Kentucky LLC Organization, Farmington, UT Created for acquisition, LLC, Holding company 5% Or Greater Direct Ownership Interest Feb 3, 2014 100%
Providence Group NH, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Pacs Holdings, LLC Organization, Farmington, UT LLC, Holding company 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Joshua O Jergensen Individual Corporate OfficerPresident Jan 1, 2024
Pacs Group, Inc. Organization, Farmington, UT Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2023 100%
Mark D Hancock Individual 5% Or Greater Indirect Ownership Interest Apr 15, 2024 41%
Corporate OfficerCeo Jan 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 186

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 186

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1841616372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ADAMS ST",
            "city": "NEW CASTLE",
            "state": "KY",
            "postal_code": "400503022",
            "telephone_number": "502-845-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CASTLEIDENCE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100327730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Castle Nursing & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Castle, KY

Sources for this page

Verify at the official NPI Registry.