NPIMap

Organization Active NPI

Hillcrest Nursing Home of Corbin, Inc.

Doing business as Hillcrest Nursing Home

  • Skilled Nursing Facility
  • Corbin, KY
National Provider Identifier
1962514380
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100425 Issued in KY
Legal business name
HILLCREST NURSING HOME OF CORBIN, INC.
Doing business as
Hillcrest Nursing Home
Practice address
1245 American Greeting Card Rd
Corbin, KY 40701-4811
Phone
(606) 528-8917
Fax
(606) 528-0070
NPI assigned
Aug 31, 2006
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRST CORBIN LONG TERM CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Mr. Terry Emanuel Forcht
Title
Chairman
Phone
(606) 528-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100425 KY Primary

Addresses

Primary practice location

1245 American Greeting Card Rd
Corbin, KY 40701-4811

Mailing address

PO Box 556
Corbin, KY 40702-0556
Phone (606) 528-8917

Other identifiers 2

IdentifierTypeStateIssuer
12501391MedicaidKY
000000054707OtherKYANTHEM BCBS

Other names 1

  • Hillcrest Nursing Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020911000000 KY Part A Provider - Skilled Nursing Facility 0244147163 Practice locations: Corbin, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962514380. Details of each certification follow.

Skilled nursing facility certification: CCN 185125

Legal name
HILLCREST NURSING HOME OF CORBIN, INC.
Doing business as
HILLCREST HEALTH & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 4, 1973
Last certification
Aug 16, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
First Corbin LTC
Organization structure
CorporationProprietary
Incorporated
Jan 10, 1972 in KY
Enrollment address
1245 American Greeting Card Road
Corbin, KY 40701-4881
Nursing home name
HILLCREST HEALTH AND REHABILITATION CENTER
Affiliated entity
SEKY HOLDING CO.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hillcrest Health and Rehabilitation CenterCCN 185125 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 4, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120100.7 residents per day on average
Chain
Seky Holding Co.9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Gail Gibbs Individual W-2 Managing EmployeeAd; May 5, 2008
Operational/Managerial Control Jun 23, 2008
Terry E Forcht Individual 5% Or Greater Indirect Ownership Interest Jan 10, 1972 98%
Corporate Director Sep 11, 2002
John Dailey Individual Operational/Managerial ControlManager May 16, 2018
Roger Alsip Individual Corporate OfficerTreasurer Jun 20, 2011
Corporate DirectorTreasurer and Director Aug 6, 2018
Fcltc Holdings Inc Organization, Corbin, KY Corporation 5% Or Greater Indirect Ownership Interest Apr 28, 2017 100%
David Witt Individual Corporate OfficerSecretary Jun 21, 2011
Corporate DirectorSecretary and Director Aug 6, 2018
Steven E Morton Individual Contracted Managing EmployeeMD; Aug 27, 2002
Jackie Willis Individual Corporate OfficerAssistant Secretary Jan 1, 2011
Wesley Tipton Individual Corporate OfficerPresident/Chairman May 16, 2018
Corporate DirectorPresident/Chairman and Director Jun 20, 2016
Seky Holding Co Organization, Corbin, KY Corporation, For-profit 5% Or Greater Direct Ownership Interest Mar 13, 2003 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1962514380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407020556",
            "telephone_number": "606-528-8917",
            "fax_number": "606-528-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 AMERICAN GREETING CARD RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014811",
            "telephone_number": "606-528-8917",
            "fax_number": "606-528-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST NURSING HOME OF CORBIN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CORBIN LONG TERM CARE, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "FORCHT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "606-528-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12501391",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000054707",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.