SUNRISE MANOR
NPI 1003818303
Skilled Nursing Facility in Hodgenville, KY

Active since June 01, 2005CLIA 18D0327081 · Waiver
80 PHILLIPS LN, HODGENVILLE, KY 42748(270) 358-3103(270) 358-8412 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sunrise Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNRISE MANOR (NPI 1003818303) is a healthcare organization registered as a skilled nursing facility in Hodgenville, Kentucky and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Daphne S. Loyall, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003818303
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLARUE COUNTY GERIATRIC CENTER, INC.
Location Address80 PHILLIPS LNHodgenville, KY 42748-1645
Mailing Address80 Phillips LnHodgenville, KY 42748-1645 · (270) 358-3103 · Fax (270) 358-8412
Fax(270) 358-8412
Organization SubpartNo
Authorized OfficialDaphne S. LoyallAdministrator · (270) 358-3103
Enumeration DateJune 1, 2005
Last NPPES UpdateMay 26, 2010
NPI 1003818303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in KY · 100277
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X · License 750086 (KY)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 100277 (KY)
80 PHILLIPS LN, Hodgenville, KY 42748

Other Names 1

Doing Business AsSunrise Manor

Other Identifiers 5

Medicaid100277KY
Medicare NSC0259130001KY
Medicare ID-Type Unspecified185057KY · Medicare Provider Number
Medicaid43010628KY
Medicaid12502233KY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0327081

LP Hodgenville, LLC D/B/A Sunrise Manor Nursing Home · Hodgenville, KY
Active · expires Aug 31, 2026
CLIA Number18D0327081
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Amy Durbin
Laboratory Phone(270) 358-3103
Laboratory LocationLP Hodgenville, LLC D/B/A Sunrise Manor Nursing Home717 N Lincoln Blvd, Hodgenville, KY 42748
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
80 PHILLIPS LN
HODGENVILLE, KY 42748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larue County Geriatric Center, Inc.'s NPI number?

The NPI number for Larue County Geriatric Center, Inc. is 1003818303. It was assigned to this organization in the NPPES registry on June 1, 2005. The provider is doing business as Sunrise Manor.

Where is Larue County Geriatric Center, Inc. located?

Larue County Geriatric Center, Inc. is located at 80 Phillips Ln, Hodgenville, KY 42748. The listed phone number is (270) 358-3103.

What is Larue County Geriatric Center, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Larue County Geriatric Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0327081) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Larue County Geriatric Center, Inc. was last updated on May 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.