JACKSON MANOR LLC
NPI 1902250012
Skilled Nursing Facility in Annville, KY

Active since April 15, 2016
96 HIGHWAY 3444, ANNVILLE, KY 40402(502) 714-7444 Get Directions Write a Review

NPPES record last updated: April 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Manor Llc NPPES

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

JACKSON MANOR LLC (NPI 1902250012) is a healthcare organization registered as a skilled nursing facility in Annville, Kentucky and active in the NPI registry since April 2016. The organization lists Robin Barber, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1902250012
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJACKSON MANOR LLC
Location Address96 HIGHWAY 3444Annville, KY 40402-8245
Mailing Address700 N Hurstbourne PkwyLouisville, KY 40222-5393 · (502) 714-7444
Organization SubpartNo
Authorized OfficialRobin BarberExecutive Vice President · (502) 714-7444
Enumeration DateApril 15, 2016
NPI 1902250012 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.
96 HIGHWAY 3444, Annville, KY 40402

Other Identifiers 2

Medicaid12504965KY
Medicare PIN185249KY

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.

Speech-Language Pathologist
96 HIGHWAY 3444
ANNVILLE, KY 40402
Social Worker (Clinical)
96 HIGHWAY 3444
ANNVILLE, KY 40402
Skilled Nursing Facility
96 HIGHWAY 3444
ANNVILLE, KY 40402

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 Jackson Manor LLC's NPI number?

The NPI number for Jackson Manor LLC is 1902250012. It was assigned to this organization in the NPPES registry on April 15, 2016.

Where is Jackson Manor LLC located?

Jackson Manor LLC is located at 96 Highway 3444, Annville, KY 40402. The listed phone number is (502) 714-7444.

What is Jackson Manor LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jackson Manor LLC was last updated on April 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.