Organization Active NPI

Thames Healthcare Group, LLC

Doing business as Johnson Mathers Nursing Home

  • Skilled Nursing Facility
  • Carlisle, KY
National Provider Identifier
1982701413
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100349 Issued in KY
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

Updated by the provider on Jul 14, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12500906MedicaidKY
7100199360MedicaidKY

Other names 1

  • Johnson Mathers Nursing Home Doing business as

Electronic endpoints 1

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

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.