Laurel Housing Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

P01806 Issued in KY

Legal business name

LAUREL HOUSING INC

Doing business as

Laurel Heights Nursing Home Pharmacy

Practice address

208 W 12TH St
London, KY 40741-1101

Phone

(606) 864-4155

Fax

(606) 864-1135

NPI assigned

Dec 13, 2006

Last updated

Dec 22, 2016By 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

Tom Houchens, PHARMD

Title

Pharmacy Director

Phone

(606) 864-4155

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LAUREL HEIGHTS NURSING HOME PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Laurel Housing Inc

  dba Laurel Heights Home for the Elderly

  • Skilled Nursing Facility
  • London, KY
  • NPI 1033110341

  7416979836

  Same PAC ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Laurel Housing Inc.

  dba Laurel Heights Home for the Elderly

  • Parenteral & Enteral Nutrition Supplies (DME)
  • London, KY
  • NPI 1316120306

  Member Of

  NPD member

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1932260700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 12TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411101",
            "telephone_number": "606-864-4155",
            "fax_number": "606-864-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 12TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411101",
            "telephone_number": "606-864-4155",
            "fax_number": "606-864-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL HOUSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "HOUCHENS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "606-864-4155",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "P01806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030568",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54019625",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAUREL HEIGHTS NURSING HOME PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurel Dental Care
• Laurel Dental Dre PLLC
• Laurel Family Medical & Mental Health
• Laurel Family Mental Health
• Laurel Housing Inc (Laurel Heights Home for the Elderly)
• Laurel Housing Inc. (Laurel Heights Home for the Elderly)
• Laurel Medical Services LLC
• Laurel Medical Services LLC
• Laurel Springs, Inc.
• Leah Beth Lawson, CCC/SLP

• Long Term Care Pharmacy in London, KY
• Providers in London, KY by specialty
• Long Term Care Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.