Paintsville Investors LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100688 Issued in KY

Legal business name

PAINTSVILLE INVESTORS LLC

Practice address

1025 Euclid Ave
Paintsville, KY 41240-8645

Phone

(606) 789-5808

Fax

(606) 789-1813

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Fitzpatrick

Title

Cfo

Phone

(606) 789-5808

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mountain Manor of Paintsville Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Skilled nursing facility certification: CCN 185414

Legal name

PAINTSVILLE INVESTORS, LLC

Doing business as

MOUNTAIN MANOR OF PAINTSVILLE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 19, 1995

Last certification

Nov 4, 2021

Beds

126

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Aug 18, 2000 in KY

Enrollment address

1025 Euclid Ave
Paintsville, KY 41240-8645

Nursing home name

MOUNTAIN MANOR OF PAINTSVILLE

Listed as

Mountain Manor of PaintsvilleCCN 185414

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 19, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

126117.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 5

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 1

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

• Charles Edward Hardin Jr., M.D.

  • Family Medicine Physician
  • Salyersville, KY
  • NPI 1447247978

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

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

• Charles Edward Hardin Jr., M.D.

  • Family Medicine Physician
  • Salyersville, KY
  • NPI 1447247978
  NPD (past)
• Pallaki D Ravi, M.D.

  • Family Medicine Physician
  • Danville, KY
  • NPI 1053631804
  NPD (past)
• Jason T Rice, DO

  • Family Medicine Physician
  • Paintsville, KY
  • NPI 1588745863
  NPD (past)

Affiliated clinicians 3

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

• Charles Edward Hardin Jr., M.D.

  • Family Medicine Physician
  • Salyersville, KY
  • NPI 1447247978

  Nursing home

  Care Compare affiliation
• Pallaki D Ravi, M.D.

  • Family Medicine Physician
  • Danville, KY
  • NPI 1053631804

  Nursing home

  Care Compare affiliation
• Jason T Rice, DO

  • Family Medicine Physician
  • Paintsville, KY
  • NPI 1588745863

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1982604518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 EUCLID AVE",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412408645",
            "telephone_number": "606-789-5808",
            "fax_number": "606-789-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 EUCLID AVE",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412408645",
            "telephone_number": "606-789-5808",
            "fax_number": "606-789-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTSVILLE INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-789-5808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100688",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "KY",
            "license": "7100209150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12502977",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Manor of Paintsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paintsville Independent Schools
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• Paintsville Pediatric Associates
• Paintsville Primary Care and Spa
• Chasity Suzanne Patrick
• Pelfrey Management Group LLC
• Justin W Pratt, DMD

• All providers in Paintsville, KY
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.