Edgemont Healthcare, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

100166 Issued in KY

Legal business name

EDGEMONT HEALTHCARE, INC.

Practice address

323 Webster Ave
Cynthiana, KY 41031-1648

Phone

(859) 234-4595

Fax

(859) 234-8070

NPI assigned

Oct 27, 2005

Last updated

Aug 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie Haefer

Title

Secertary Treasurer

Phone

(859) 987-5523

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922098227. Details of each certification follow.

• CCN 185389 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185389

Legal name

EDGEMONT HEALTHCARE INC

Doing business as

EDGEMONT HEALTHCARE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 14, 1993

Last certification

Mar 25, 2021

Beds

68

Ownership / control type

Limited Liability Corporation

Organization structure

CorporationProprietary

Incorporated

May 26, 2005 in KY

Enrollment address

323 Webster Ave
Cynthiana, KY 41031-1648

Nursing home name

EDGEMONT HEALTHCARE

Listed as

Edgemont HealthcareCCN 185389 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 14, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6865.9 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $133,225

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 3

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

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.

• Matthew Daniel Blake, D.O.

  • Internal Medicine Physician
  • Cynthiana, KY
  • NPI 1578191250
  NPD (past)
• Stephen K Toadvine, MD

  • Family Medicine Physician
  • Cynthiana, KY
  • NPI 1356314199
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Stephen K Toadvine, MD

  • Family Medicine Physician
  • Cynthiana, KY
  • NPI 1356314199

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1922098227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WEBSTER AVE",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311648",
            "telephone_number": "859-234-4595",
            "fax_number": "859-234-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 WEBSTER AVE",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311648",
            "telephone_number": "859-234-4595",
            "fax_number": "859-234-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEMONT HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "HAEFER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "SECERTARY  TREASURER",
        "authorized_official_telephone_number": "859-987-5523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "100166",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100005340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Brett a Hines PSC (Cynthiana Vision Center)
• Peggy Lynn Dunn
• Durable Medical Supply Home Health Inc. (Cynthiana Durable Medical Supply)
• Dwight E Lewis, MD, PSC
• Eastside Pharmacy of Cynthiana, Inc
• Edgemont Manor
• Family Care Associates, PSC
• William Ballard Faulkner III, DMD
• FDC Cynthiana LLC (Friendly Dental Co)
• Aaron Michael Ferda, M.D.

• Nursing Facility/Intermediate Care Facility in Cynthiana, KY
• Providers in Cynthiana, KY by specialty
• Nursing Facility/Intermediate Care Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.

Verify at the official NPI Registry.