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CAMPBELLSVILLE NURSING AND REHABILITATION CENTER
NPI 1063997344
Skilled Nursing Facility in Campbellsville, KY

Active since October 02, 2018CLIA 18D0719404 · Waiver
4/5
Overall Rating
1980 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718(270) 465-3506(270) 789-4010 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2022, Oct 2, 2018 (2 updates tracked since 2018).

About Campbellsville Nursing And Rehabilitation Center NPPES

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

CAMPBELLSVILLE NURSING AND REHABILITATION CENTER (NPI 1063997344) is a healthcare organization registered as a skilled nursing facility in Campbellsville, Kentucky and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Moshe Kelman, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063997344
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCAMPBELLSVILLE OPERATING COMPANY LLC
Location Address1980 OLD GREENSBURG RDCampbellsville, KY 42718-2536
Mailing Address1980 Old Greensburg RdCampbellsville, KY 42718-2536 · (270) 465-3506 · Fax (270) 789-4010
Phone(270) 465-3506
Fax(270) 789-4010
Organization SubpartNo
Authorized OfficialMoshe KelmanManaging Member · (270) 465-3506
Enumeration DateOctober 2, 2018
Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1063997344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
1980 OLD GREENSBURG RD, Campbellsville, KY 42718
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Other Names 1

Doing Business AsCampbellsville Nursing And Rehabilitation Center

Other Identifiers 2

Medicaid7100580850KY
Other100392KY · License

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 18D0719404

Campbellsville Operating Company LLC D/B/A Campbellsville Nursing And Rehabilitation Center · Campbellsville, KY
Active · expires Aug 31, 2026
CLIA Number18D0719404
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Suzanne Davis
Laboratory Phone(270) 465-3506
Laboratory LocationCampbellsville Operating Company LLC D/B/A Campbellsville Nursing And Rehabilitation Center1980 Old Greensburg Road, Campbellsville, KY 42718
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Campbellsville Nursing And Rehabilitation Center (CMS certification number 185330), from CMS Care Compare.

Campbellsville Nursing And Rehabilitation Center

Nursing home · Campbellsville, KY
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number185330
Certified Beds67 beds55 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1992
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
12.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.11 · LPN 1.44 · RN 0.46
4.01 hrs per resident per day
Weekend Nurse Staffing
3.47 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60.9%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 12

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

CAMPBELLSVILLE HEALTH FACILITIES LP
Skilled Nursing Facility
1980 OLD GREENSBURG RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3506
MRS. JANAFER R THOMAS PTA
Physical Therapy Assistant
1980 OLD GREENSBURG RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3506
MRS. KIM R OSBOURN OT
Occupational Therapist
1980 OLD GREENSBURG RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3506
MR. JAMES RYAN HOOD OTR/L
Occupational Therapist
1980 OLD GREENSBURG RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3506
EXTENDICARE HOMES, INC.
Skilled Nursing Facility
1980 OLD GREENSBURG RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3506
MRS. MICHELLE MARIE EDELEN OTR/L
Occupational Therapist
1980 OLD GREENSBURG RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3506
CYNTHIA KAYE HUNT PTA
Physical Therapy Assistant
1980 OLD GREENSBURG RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3506
MRS. ERICA LYNN YOUNG PT
Physical Therapist
1980 OLD GREENSBURG RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 465-3506

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 Campbellsville Operating Company LLC's NPI number?

The NPI number for Campbellsville Operating Company LLC is 1063997344. It was assigned to this organization in the NPPES registry on October 2, 2018. The provider is doing business as Campbellsville Nursing And Rehabilitation Center.

Where is Campbellsville Operating Company LLC located?

Campbellsville Operating Company LLC is located at 1980 Old Greensburg Rd, Campbellsville, KY 42718. The listed phone number is (270) 465-3506.

What is Campbellsville Operating Company LLC's specialty?

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

Does Campbellsville Operating Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0719404) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Campbellsville Operating Company LLC a Medicare-certified nursing home?

Yes. Campbellsville Nursing And Rehabilitation Center is a Medicare-certified nursing home with 67 certified beds.

What quality rating does Campbellsville Operating Company LLC have?

CMS rates Campbellsville Nursing And Rehabilitation Center 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Campbellsville Operating Company LLC was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.