Redbanks Colonial Terrace Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100440 Issued in KY

Legal business name

REDBANKS COLONIAL TERRACE INC.

Practice address

142 Roger Powell Rd
Sebree, KY 42455-2115

Phone

(270) 835-2533

NPI assigned

Jul 26, 2011

Last updated

May 18, 2012By 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

Mr. Chris Page

Title

Executive Director

Phone

(270) 826-6436

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962780809. Details of each certification follow.

• CCN 185291 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 185291

Legal name

REDBANKS COLONIAL TERRACE INC.

Doing business as

PROACTIVE LTC CONSULTING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 26, 1991

Last certification

Aug 31, 2021

Beds

87

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Henderson Healthcare Coop.

Organization structure

CorporationNon-profit

Incorporated

Jun 14, 2011 in KY

Enrollment address

142 Roger Powell Rd
Sebree, KY 42455-2115

Nursing home name

REDBANKS COLONIAL TERRACE

Listed as

Redbanks Colonial TerraceCCN 185291 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 26, 1991

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8773.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 17

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

Owners & managing parties with NPI records 2

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

• Henderson County Health Care Corporation

  dba Redbanks Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Henderson, KY
  • NPI 1194704999

  Operational/Managerial Control

  CMS ownership
• Mark A. Tackett, M.D.

  • Family Medicine Physician
  • Powderly, KY
  • NPI 1144281791

  Adp of the SNF

  CMS ownership

Practitioners 1

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.

• Mark A. Tackett, M.D.

  • Family Medicine Physician
  • Powderly, KY
  • NPI 1144281791
  NPD (past)

Affiliated clinicians 1

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

• Mark A. Tackett, M.D.

  • Family Medicine Physician
  • Powderly, KY
  • NPI 1144281791

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1962780809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ROGER POWELL RD",
            "city": "SEBREE",
            "state": "KY",
            "postal_code": "424552115",
            "telephone_number": "270-835-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ROGER POWELL RD",
            "city": "SEBREE",
            "state": "KY",
            "postal_code": "424552115",
            "telephone_number": "270-835-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBANKS COLONIAL TERRACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-826-6436",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Methodist Health, Inc. (Methodist Family Medicine)
• Kimberly Ann Pirtle, PTA
• Marcia A. Polley, A.R.N.P.
• Banpote Poosuthasee, M.D
• Sydney Renee Rager
• Sea Breeze Seven, Inc.
• Sebree Clinic, LLC (Connie Skinner ARNP)
• Sebree Medical Center
• Sebree Medical Group
• Connie J. Skinner, ARNP

• Skilled Nursing Facility in Sebree, KY
• Providers in Sebree, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.