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GAITHER SUITES AT WEST PARK
NPI 1184043945
Assisted Living Facility in Paducah, KY

Active since April 09, 2014CLIA 18D2215829 · Waiver
4960 VILLAGE SQUARE DR, PADUCAH, KY 42001(270) 442-3999 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gaither Suites At West Park NPPES

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

GAITHER SUITES AT WEST PARK (NPI 1184043945) is a healthcare organization registered as an assisted living facility in Paducah, Kentucky and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Jennifer Gish, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184043945
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGAITHER SUITES AT WEST PARK
Location Address4960 VILLAGE SQUARE DRPaducah, KY 42001-7490
Mailing Address4960 Village Square DrPaducah, KY 42001-7490 · (270) 442-3999
Phone(270) 442-3999
Organization SubpartNo
Authorized OfficialJennifer GishExecutive Director · (270) 442-3999
Enumeration DateApril 9, 2014
✔ NPI 1184043945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in KY · 007718521
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4960 VILLAGE SQUARE DR, Paducah, KY 42001
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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 18D2215829

Gaither Suites At West Park · Paducah, KY
Active · expires Mar 7, 2027
CLIA Number18D2215829
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. David Zetter
Laboratory Phone(270) 442-3999
Laboratory LocationGaither Suites At West Park4960 Village Square Blvd, Paducah, KY 42001
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 3

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

TONYA GILL
Occupational Therapist
4960 VILLAGE SQUARE DR
PADUCAH, KY 42001
McCracken County (270) 816-6820
LINDA REDD APRN
Nurse Practitioner (Acute Care)
4960 VILLAGE SQUARE DR
PADUCAH, KY 42001
McCracken County (270) 632-8219
GAITHER WESTPARK OPERATIONS, LLC
Assisted Living Facility
4960 VILLAGE SQUARE DR
PADUCAH, KY 42001
McCracken County (270) 632-8219

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 Gaither Suites At West Park's NPI number?

The NPI number for Gaither Suites At West Park is 1184043945. It was assigned to this organization in the NPPES registry on April 9, 2014.

Where is Gaither Suites At West Park located?

Gaither Suites At West Park is located at 4960 Village Square Dr, Paducah, KY 42001. The listed phone number is (270) 442-3999.

What is Gaither Suites At West Park's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Gaither Suites At West Park hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2215829) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gaither Suites At West Park was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.