Active NPI
Thames Healthcare Group, LLC
Doing business as Johnson Mathers Nursing Home
- Skilled Nursing Facility
- Carlisle, KY
National Provider Identifier
1982701413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100349
- Legal business name
- THAMES HEALTHCARE GROUP, LLC
- Doing business as
- Johnson Mathers Nursing Home
- Practice address
- 2323 Concrete Rd
Carlisle, KY 40311-9721 - Phone
- (859) 289-3492
- Fax
- (859) 289-3493
- NPI assigned
- Sep 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen G McDaniel
- Title
- President
- Phone
- (252) 523-9094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100349 | KY | Primary |
Addresses
Primary practice location
2323 Concrete Rd
Carlisle, KY 40311-9721
Mailing address
2323 Concrete Rd
Carlisle, KY 40311-9721
Phone (859) 289-3492
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12500906 | Medicaid | KY | |
| 7100199360 | Medicaid | KY |
Other names 1
- Johnson Mathers Nursing Home
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
National Provider Directory
National Provider DirectoryLocations
2323 Concrete Rd
Carlisle, KY 40311
Phone (859) 289-3492
6301 Bass Rd
River Bluff, KY 40059
Phone (502) 228-8359
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Carlisle, KY
- NPI 1699711010
-
- Adolescent Medicine (Internal Medicine) Physician
- Hendersonville, NC
- NPI 1801859673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1982701413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 CONCRETE RD",
"city": "CARLISLE",
"state": "KY",
"postal_code": "403119721",
"telephone_number": "859-289-3492",
"fax_number": "859-289-3493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 CONCRETE RD",
"city": "CARLISLE",
"state": "KY",
"postal_code": "403119721",
"telephone_number": "859-289-3492",
"fax_number": "859-289-3493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THAMES HEALTHCARE GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-19",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-523-9094",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12500906",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100199360",
"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",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Johnson Mathers Nursing Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Johnson Mathers Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carlisle, KY
- Sterling Health Solutions Inc
- Sterling Health Solutions Inc
- Amber Stortz, DPT
- Katlyn Switzer
- Janet Tamaren, M.D.
- Steven W Triplett, LCSW
- Luzia Tuggle, NP-C
- Melissa Dawn Walden, APRN
- Felicia Louise Warman, LPN
- Wedco Distric Health Department (Wedco District Health Department- Nicholas County School Health Clini)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.