Redbanks Colonial Terrace Inc.
Organization Active NPI Skilled Nursing Facility · Sebree, KY
NPI 1962780809 · NPPES record last updated May 18, 2012
Key facts
- NPI
- 1962780809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 100440 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Chris Page
- Title
- Executive Director
- Phone
- (270) 826-6436
Owners & managing parties with NPI records 2
-
Mark A. Tackett, M.D.
Practitioners 1
-
Mark A. Tackett, M.D.
Affiliated clinicians 1
-
Mark A. Tackett, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Redbanks Colonial Terrace
- 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
- Active
- Certified beds
- 87 · 73.7 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0679909 | Redbanks Colonial Terrace, Inc | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
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
- Corporation · Non-profit
- Incorporated
- Jun 14, 2011 in KY
- Enrollment address
- 142 Roger Powell Rd
Sebree, KY 42455-2115 - Nursing home name
- REDBANKS COLONIAL TERRACE
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Dec 16, 2020 | |
| Mark a Tackett |
Adp of the SNF | Jun 30, 2011 | |
| Marty M Teasley |
Operational/Managerial Control | Nov 1, 2022 | |
| Adp of the SNF | Nov 1, 2022 | ||
| |
Adp of the SNF | Apr 8, 2025 | |
| Eric Brown |
Corporate Officer |
Jan 1, 2024 | |
| Corporate Director |
Jan 1, 2015 | ||
| Managing Control - Governing Body | Jan 1, 2015 | ||
| Henderson County Health Care Corporation |
Operational/Managerial Control | Jun 30, 2011 | 100% |
| Crystal Littlepage |
Operational/Managerial Control | Jan 24, 2018 | |
| Adp of the SNF | Jan 24, 2018 | ||
| |
Adp of the SNF | Apr 8, 2025 | |
| |
Adp of the SNF | Jan 1, 2023 | |
| Leon Poindexter |
Corporate Officer |
Jan 1, 2024 | |
| Corporate Director |
Oct 2, 2023 | ||
| Managing Control - Governing Body | Oct 2, 2023 | ||
| |
Adp of the SNF | Jan 1, 2024 | |
| Luke Maurer |
Corporate Director |
Oct 2, 2023 | |
| Managing Control - Governing Body | Oct 2, 2023 | ||
| |
Adp of the SNF | Dec 16, 2020 | |
| |
Adp of the SNF | Dec 16, 2020 | |
| Frank Chamberlain |
Corporate Officer |
Jun 30, 2011 | |
| Corporate Director |
Jun 30, 2011 | ||
| Timothy Williams |
Corporate Officer |
Jun 30, 2011 | |
| Corporate Director |
Jun 30, 2011 | ||
| Managing Control - Governing Body | Jun 30, 2011 | ||
| |
Adp of the SNF | Dec 16, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110921000272 | KY | Part a Provider - Skilled Nursing Facility | 8022289180 | Practice locations: Sebree, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100440 | KY | Yes |
Addresses
Primary practice location
142 Roger Powell Rd
Sebree, KY 42455-2115
Mailing address
142 Roger Powell Rd
Sebree, KY 42455-2115
Phone (270) 835-2533
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100197090 | Medicaid | KY |
Other providers in Sebree, KY
- Methodist Health, Inc.
- Kimberly Ann Pirtle
- Marcia A. Polley
- Banpote Poosuthasee
- Sydney Renee Rager
- Sea Breeze Seven, Inc.
- Sebree Clinic, LLC
- Sebree Medical Center
- Sebree Medical Group
- Connie J. Skinner
All providers in Sebree, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.