Pikeville Nursing and Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PIKEVILLE NURSING AND REHAB CENTER LLC

Doing business as

Pikeville Nursing and Rehab Center

Practice address

260 S Mayo TRL
Pikeville, KY 41501-1520

Phone

(606) 437-7327

Fax

(606) 432-9428

NPI assigned

Jun 21, 2018

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Walden

Title

Managing Member

Phone

(845) 641-0543

Specialties & licenses 1

Addresses

Other names 1

• Pikeville Nursing and Rehab Center Doing business as

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1992299945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011520",
            "telephone_number": "606-437-7327",
            "fax_number": "606-432-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S MAYO TRL",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011520",
            "telephone_number": "606-437-7327",
            "fax_number": "606-432-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKEVILLE NURSING AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "845-641-0543"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pikeville Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pikeville Medical Center, Inc. (Pikeville Family Practice Clinic)
• Pikeville Medical Equipment & Supplies, Inc.
• Pikeville Medical Offices
• Pikeville Neurology Clinic & Diagnostic Center PSC
• Pikeville Nursing and Rehab Center LLC (Pikeville Nursing and Rehab Center)
• Pikeville Optical Company Inc (The Eye Site)
• Pikeville Radiology
• Pikeville Radiology PLLC
• Pikeville Spine, Sports & Joint Pain Center L.L.C,.
• James R Poliquin, M.D.

• Skilled Nursing Facility in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.