# THAMES HEALTHCARE GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson Mathers Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982701413
- **Authorized official:** MS. KAREN G MCDANIEL (PRESIDENT)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 2323 CONCRETE RD, CARLISLE, KY 40311-9721
- **Practice address phone:** (859) 289-3492
- **Practice address fax:** (859) 289-3493
- **Mailing address:** 2323 CONCRETE RD, CARLISLE, KY 40311-9721
- **Mailing address phone:** (859) 289-3492
- **Mailing address fax:** (859) 289-3493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100349 | KY | Yes |

## Other

- **Enumeration date:** 09/19/2006
- **Last updated:** 07/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12500906 | — | KY |
| 05 | — | 7100199360 | — | KY |