NPIMap

Organization Active NPI

Commonwealth of Kentucky

  • Nursing Facility/Intermediate Care Facility
  • Glasgow, KY
National Provider Identifier
1972506731
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
100483 Issued in KY
Legal business name
COMMONWEALTH OF KENTUCKY
Practice address
207 State Ave
Glasgow, KY 42141-1400
Phone
(270) 659-4700
Fax
(270) 651-1726
NPI assigned
May 24, 2005
Organization subpart
Yes
Parent organization
COMMONWEALTH OF KENTUCKYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Ms. Amanda Allen
Title
Facility Director
Phone
(270) 659-4707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 100483 KY Primary

Addresses

Primary practice location

207 State Ave
Glasgow, KY 42141-1400

Mailing address

207 State Ave
Glasgow, KY 42141-1400
Phone (270) 659-4700

Other identifiers 1

IdentifierTypeStateIssuer
12400016MedicaidKY

Other names 1

  • Glasgow State Nursing Facility Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120409000592 KY Part A Provider - Skilled Nursing Facility 4385805944 Practice locations: Glasgow, KY

Skilled nursing facility certification: CCN 185363

Legal name
COMMONWEALTH OF KENTUCKY
Doing business as
GLASGOW STATE NURSING FACILITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 27, 1992
Last certification
Dec 21, 2023
Beds
100
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
207 State Ave
Glasgow, KY 42141-1400
Nursing home name
GLASGOW STATE NURSING FACILITY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Glasgow State Nursing FacilityCCN 185363
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Nov 27, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10063.2 residents per day on average
Penalties (3 years)
2Fines totaling $62,189

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1045590Glasgow State Nursing Facility207 State Avenue, Glasgow, KY 42141Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
West Liberty Elementary126 organizations share this tax ID, including this one
Part of
West Liberty Elementary

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

207 State Ave
Glasgow, KY 42141
Phone (270) 659-4700

199 State Ave
Glasgow, KY 42141
Phone (270) 651-2151

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Amanda Emmitt Individual Operational/Managerial Control Jun 1, 2013
Adp of the SNF Jun 1, 2013
Jennifer Moore Individual Operational/Managerial Control May 1, 2015
Phillip W Bale Individual Corporate OfficerMedical Director Aug 1, 1979
Adp of the SNF Aug 1, 1979
Gloria a Fetcher Individual Operational/Managerial Control Aug 16, 2022
Adp of the SNF Aug 16, 2022
Katrice D Maddox Individual Operational/Managerial Control Jun 1, 2015
Amanda J Allen Individual Corporate OfficerAdministrator Oct 2, 2013
Adp of the SNF Oct 2, 2013
Commonwealth of Kentucky Organization, Glasgow, KY 5% Or Greater Direct Ownership Interest Jul 1, 1977 100%
Adp of the SNF Oct 1, 2025

Owners & managing parties with NPI records 5

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1972506731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 STATE AVE",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411400",
            "telephone_number": "270-659-4700",
            "fax_number": "270-651-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 STATE AVE",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411400",
            "telephone_number": "270-659-4700",
            "fax_number": "270-651-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF KENTUCKY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONWEALTH OF KENTUCKY",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "270-659-4707",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "100483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12400016",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glasgow State Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glasgow State Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glasgow State Nursing Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.