MADISONVILLE HEALTH AND REHABILITATION
NPI 1700369576
Skilled Nursing Facility in Madisonville, KY

Active since September 07, 2018CLIA 18D0724923 · Waiver
419 N SEMINARY ST, MADISONVILLE, KY 42431(270) 821-5564 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, Dec 12, 2018, Sep 7, 2018 (3 updates tracked since 2018).

About Madisonville Health And Rehabilitation NPPES

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

MADISONVILLE HEALTH AND REHABILITATION (NPI 1700369576) is a healthcare organization registered as a skilled nursing facility in Madisonville, Kentucky and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mick Vujanovic, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700369576
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMADISONVILLE HEALTH AND REHABILITATION LLC
Location Address419 N SEMINARY STMadisonville, KY 42431-1515
Mailing Address2100 Cherokee Ridge Way Ste 100Louisville, KY 40205-1600 · (502) 667-8150
Organization SubpartNo
Authorized OfficialMick VujanovicCeo · (502) 667-8150
Enumeration DateSeptember 7, 2018
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
NPI 1700369576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedRespite CareTaxonomy 385H00000X
419 N SEMINARY ST, Madisonville, KY 42431

Other Names 1

Doing Business AsMadisonville Health And Rehabilitation

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 18D0724923

Madisonville Health And Rehabilitation, LLC Dba Madisonville Health And Rehabilitation · Madisonville, KY
Active · expires Aug 31, 2026
CLIA Number18D0724923
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Stacey Fazenbaker
Laboratory Phone(270) 821-5564
Laboratory LocationMadisonville Health And Rehabilitation, LLC Dba Madisonville Health And Rehabilitation419 N Seminary Street, Madisonville, KY 42431
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Physical Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431
Nurse Practitioner (Family)
419 N SEMINARY ST
MADISONVILLE, KY 42431
Nurse Practitioner (Family)
419 N SEMINARY ST
MADISONVILLE, KY 42431
Physical Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431
Physical Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431
Occupational Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431
Speech-Language Pathologist
419 N SEMINARY ST
MADISONVILLE, KY 42431
Occupational Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431

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 Health And Rehabilitation LLC's NPI number?

The NPI number for Madisonville Health And Rehabilitation LLC is 1700369576. It was assigned to this organization in the NPPES registry on September 7, 2018. The provider is doing business as Madisonville Health And Rehabilitation.

Where is Madisonville Health And Rehabilitation LLC located?

Madisonville Health And Rehabilitation LLC is located at 419 N Seminary St, Madisonville, KY 42431. The listed phone number is (270) 821-5564.

What is Madisonville Health And Rehabilitation LLC's specialty?

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

Does Madisonville Health And Rehabilitation LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0724923) 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 Madisonville Health And Rehabilitation LLC was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.