Somerview Personal Care Home, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

100369 Issued in KY

Legal business name

SOMERVIEW PERSONAL CARE HOME, INC

Doing business as

Somerview Personal Care Home

Practice address

202 N Main St
Somerset, KY 42501-1405

Phone

(606) 678-0440

Fax

(606) 679-6515

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Melissa Christine Creekmore

Title

Corporate Officer

Phone

(606) 678-8927

Specialties & licenses 1

Addresses

Other names 1

• Somerview Personal Care Home Doing business as

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1942579701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1103",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425021103",
            "telephone_number": "606-678-0440",
            "fax_number": "606-679-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N MAIN ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011405",
            "telephone_number": "606-678-0440",
            "fax_number": "606-679-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVIEW PERSONAL CARE HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "CREEKMORE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "606-678-8927"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KY",
            "license": "100369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerview Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Somerset, KY
• Providers in Somerset, KY by specialty
• Adult Care Home Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.