# THAMES HEALTHCARE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rivers Edge Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730115189
- **Authorized official:** MRS. KAREN G MCDANIEL (PRESIDENT)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 6301 BASS RD, PROSPECT, KY 40059-9384
- **Practice address phone:** (502) 228-8359
- **Practice address fax:** (502) 228-5469
- **Mailing address:** 6301 BASS RD, PROSPECT, KY 40059-9384
- **Mailing address phone:** (502) 228-8359
- **Mailing address fax:** (502) 228-5469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100430 | KY | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 07/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054459 | BCBS OF KY | KY |
| 05 | — | 12501250 | — | KY |
| 01 | — | 2705895000 | PASSPORT ADVANTAGE | KY |
| 05 | — | 7100168760 | — | KY |