HBR Lewisport, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HBR LEWISPORT, LLC

Doing business as

Heartland Villa Center

Practice address

8005 US Highway 60 W
Lewisport, KY 42351-7079

Phone

(270) 295-6756

Fax

(270) 295-6759

NPI assigned

Aug 31, 2006

Last updated

Jan 31, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNBRIDGE HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Thomas Divittorio

Title

Cfo, Treasurer, Asst Secretary

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland Villa Center Doing business as

Part of

Sunrise HLTH Care Corp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sunbridge Healthcare LLC

  dba Merry Wood Lodge

  • Skilled Nursing Facility
  • Elmore, AL
  • NPI 1104876226

  Member Of

  NPD member

Practitioners 1

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.

• Saagar Patel, MD

  • Family Medicine Physician
  • Irvington, KY
  • NPI 1770746794
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1912018052",
    "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": "8005 US HIGHWAY 60 W",
            "city": "LEWISPORT",
            "state": "KY",
            "postal_code": "423517079",
            "telephone_number": "270-295-6756",
            "fax_number": "270-295-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HBR LEWISPORT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE LLC",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "DIVITTORIO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO, TREASURER, ASST SECRETARY",
        "authorized_official_telephone_number": "505-468-4742"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12505251",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Villa Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adria Leigh Eubanks, PHARM.D.
• Family Health Care Associates 6 Limited Liability Company
• George Marshall Counseling, PLLC
• Brenton A Hallden, APRN
• Hancock Health LLC
• Heartland Villa Health Center LLC (Heartland Villa Center)
• Heartland Villa Ilf Health Center LLC (Heartland Villa Center)
• Hollimere Health PLLC
• Michelle Kratzer, P.T.A.
• Lewisport Drugs Inc

• Skilled Nursing Facility in Lewisport, KY
• Providers in Lewisport, 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 31, 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.