MADISONVILLE REST HOME I LLC
NPI 1609689868
Assisted Living Facility - Assisted Living, Mental Illness in Madisonville, KY

Q: What is Madisonville Rest Home I LLC's NPI number?

The NPI number for Madisonville Rest Home I LLC is 1609689868. It was assigned to this organization in the NPPES registry on January 30, 2025.

Q: What is Madisonville Rest Home I LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since January 30, 2025

140 GIVENS ST, MADISONVILLE, KY 42431(165) 708-3503 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Madisonville Rest Home I Llc NPPES

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

MADISONVILLE REST HOME I LLC (NPI 1609689868) is a healthcare organization registered as an assisted living, mental illness in Madisonville, Kentucky and active in the NPI registry since January 2025. The organization lists Raquel Edery, Coo, as its authorized official.

NPPES Registry Identity

NPI1609689868

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameMADISONVILLE REST HOME I LLC

Location Address140 GIVENS STMadisonville, KY 42431-1619

Mailing Address455 Central Ave Ste 215Cedarhurst, NY 11516-2008 · (516) 708-3503

Phone(165) 708-3503

Organization SubpartNo

Authorized OfficialRaquel EderyCoo · (516) 708-3503

Enumeration DateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1609689868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

140 GIVENS ST, Madisonville, KY 42431

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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 Madisonville Rest Home I LLC's NPI number?

The NPI number for Madisonville Rest Home I LLC is 1609689868. It was assigned to this organization in the NPPES registry on January 30, 2025.

Where is Madisonville Rest Home I LLC located?

Madisonville Rest Home I LLC is located at 140 Givens St, Madisonville, KY 42431. The listed phone number is (165) 708-3503.

What is Madisonville Rest Home I LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Madisonville Rest Home I LLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.