HBR Barkely Drive LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

HBR BARKELY DRIVE LLC

Practice address

4747 Alben Barkley Dr
Paducah, KY 42001-6789

Phone

(270) 534-0620

Fax

(270) 534-0821

NPI assigned

Aug 31, 2006

Organization subpart

Yes

Parent organization

HBR KENTUCKY LLCAs reported in NPPES

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

Authorized official

Name

Michael T Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other names 1

• Barkley Center Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1851402929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUN AVE NE",
            "address_2": "COMPLIANCE DEPARTMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094373",
            "telephone_number": "505-468-5604",
            "fax_number": "505-468-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 ALBEN BARKLEY DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016789",
            "telephone_number": "270-534-0620",
            "fax_number": "270-534-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HBR BARKELY DRIVE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HBR KENTUCKY LLC",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barkley Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Hayden
• McKenzie Nicole Hayden
• Robert Aaron Hayden, PA-C
• Misty Hayes
• Amy Nicole Haynes, CRNA
• HBR Paducah, LLC
• Healing Journey PSC
• Healthstat Onsite Clinic Crounse Corp
• Healthworks Medical, LLC
• Healthy Smiles Family Dental Care, PLLC

• Alzheimer Center (Dementia Center) in Paducah, KY
• Providers in Paducah, KY by specialty
• Alzheimer Center (Dementia Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.