Hurstbourne Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100645 NF Issued in KY

Legal business name

HURSTBOURNE HEALTHCARE LLC

Practice address

2200 Stony Brook Dr
Louisville, KY 40220-4016

Phone

(502) 495-6240

Fax

(502) 495-0324

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Roy T. Baber

Title

Manager

Phone

(502) 495-6240

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hurstbourne Care Centre at Stony Brook Doing business as

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1851338784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 STONY BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204016",
            "telephone_number": "502-495-6240",
            "fax_number": "502-495-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STONY BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204016",
            "telephone_number": "502-495-6240",
            "fax_number": "502-495-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURSTBOURNE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "BABER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-495-6240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100645 NF",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100645 PCH",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12504692",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hurstbourne Care Centre at Stony Brook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendra Michelle Hurst, APRN,FNP-C
• Leslie Hurst, PHARM.D.
• Peyton Hurst, MS, OTR/L
• Timothy Edward Hurst, PSY.D.
• Treasure Hurst, RN, FNP
• Amber Hurt, CRNA
• Andrew N Hurt, RBT
• Courtlyn Stevens Hurt
• James D Hurt, OD
• Jenna Leigh Hurt, P.T., D.P.T.

• Skilled Nursing Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.