NPIMap

Organization Active NPI

Arh Mary Breckinridge Health Services, Inc.

  • Home Health Agency
  • Hyden, KY
National Provider Identifier
1972888972
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
150022 Issued in KY
Legal business name
ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.
Practice address
166 Kate Ireland Drive
Hyden, KY 41749
Phone
(606) 672-2355
Fax
(606) 672-2059
NPI assigned
Oct 21, 2011
Organization subpart
Yes
Parent organization
APPALACHIAN REGIONAL HELATHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Ms. Hollie Harris
Title
President and Ceo
Phone
(859) 226-2511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 150022 KY Primary
Community Based Hospice Care Agency 251G00000X 150022 KY

Addresses

Primary practice location

166 Kate Ireland Drive
Hyden, KY 41749

Mailing address

100 Airport Gardens Rd
Hazard, KY 41701-9529
Phone (606) 439-6904

Other identifiers 2

IdentifierTypeStateIssuer
7100248150MedicaidKY
7100230790MedicaidKY

Other names 1

  • Mary Breckinridge ARH Home Health Agency Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120406000421 KY Part A Provider - Home Health Agency 8123293818 Practice locations: Hyden, KY

Home health agency certification: CCN 187001

Legal name
ARH MARY BRECKINRIDGE HEALTH SERVICES INC
Doing business as
MARY BRECKINRIDGE ARH HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Apr 19, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
May 31, 2011 in KY
Enrollment address
166 Kate Ireland Dr
Hyden, KY 41749-9071

Other NPIs with the same Medicare PAC ID 18

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 18

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mary Breckinridge Arh Home Health AgencyCCN 187001
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Part of
Arh Hazard Family Healt

Member of 1

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

Locations

166 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2355

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
Hollie Harris Individual Corporate OfficerPresident and Ceo May 10, 2021
Corporate DirectorBoard Member May 10, 2021
Appalachian Regional Healthcare Inc Organization, Hazard, KY Non-profit 5% Or Greater Direct Ownership Interest May 31, 2011 100%
Andrea Massey Individual Corporate DirectorBoard Member Nov 8, 2019
Carolyn Neace Individual W-2 Managing EmployeeRevenue Cycle Director Apr 14, 1997
Susan Stewart Individual W-2 Managing EmployeeCeo of Home Care Services Jun 30, 2021
Danny Harris Individual Corporate OfficerVice President and Cfo May 1, 2013
Corporate DirectorBoard Member May 1, 2013
Susan Renae Neace Individual W-2 Managing EmployeeSys Dir of Med Aff and Prov Enroll Jan 3, 2005

Facilities with the same owner 22

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

View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1972888972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT GARDENS RD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019529",
            "telephone_number": "606-439-6904",
            "fax_number": "606-487-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 KATE IRELAND DRIVE",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "41749",
            "telephone_number": "606-672-2355",
            "fax_number": "606-672-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPALACHIAN REGIONAL HELATHCARE, INC.",
        "enumeration_date": "2011-10-21",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "859-226-2511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "150022",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KY",
            "license": "150022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100248150",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100230790",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mary Breckinridge ARH Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Breckinridge ARH Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyden, KY

Sources for this page

Verify at the official NPI Registry.