Organization
THAMES HEALTHCARE GROUP, LLC
Active
Other names
Rivers Edge Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
6301 BASS RD, PROSPECT, KY 40059-9384
(502) 228-8359
(502) 228-5469
Mailing address
6301 BASS RD, PROSPECT, KY 40059-9384
(502) 228-8359
(502) 228-5469
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100430
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054459
BCBS OF KY
KY
05
—
12501250
—
KY
01
—
2705895000
PASSPORT ADVANTAGE
KY
05
—
7100168760
—
KY
Enumeration date
06/25/2006
Last updated
07/14/2021
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