Edgemont Manor

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

100166 Issued in KY

Legal business name

EDGEMONT MANOR

Practice address

323 Webster Ave
Cynthiana, KY 41031-1648

Phone

(859) 234-4595

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By 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

Shanna Duffy

Title

Administrator

Phone

(859) 234-4595

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952435307",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEMONT MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-234-4595"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "100166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Lynn Dunn
• Durable Medical Supply Home Health Inc. (Cynthiana Durable Medical Supply)
• Dwight E Lewis, MD, PSC
• Eastside Pharmacy of Cynthiana, Inc
• Edgemont Healthcare, Inc.
• Family Care Associates, PSC
• William Ballard Faulkner III, DMD
• FDC Cynthiana LLC (Friendly Dental Co)
• Aaron Michael Ferda, M.D.
• David Royce Ferguson, D.C.

• 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.