South Shore Nursing and Rehabilitation LLC
NPI 1609421676 · Skilled Nursing Facility · South Shore, KY
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Shore Nursing and Rehabilitation LLC is a Skilled Nursing Facility organization in South Shore, KY (NPI 1609421676).
Provider details
- NPI number
- 1609421676
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Pruitt, Officer(317) 288-4029
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-07
- Last updated
- 2023-07-20
- Certified
- 2023-07-20
Frequently asked questions
- What is South Shore Nursing and Rehabilitation LLC's NPI number?
- South Shore Nursing and Rehabilitation LLC's National Provider Identifier (NPI) is 1609421676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Shore Nursing and Rehabilitation LLC?
- South Shore Nursing and Rehabilitation LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is South Shore Nursing and Rehabilitation LLC located?
- South Shore Nursing and Rehabilitation LLC's practice location on file with NPPES is 405 Sm Roberson Dr, South Shore, KY 41175-9678.
- What is South Shore Nursing and Rehabilitation LLC's phone number?
- The practice phone number listed in the NPPES registry for South Shore Nursing and Rehabilitation LLC is (606) 932-3127.
- Does South Shore Nursing and Rehabilitation LLC accept Medicare?
- South Shore Nursing and Rehabilitation LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Shore Nursing and Rehabilitation LLC?
- The authorized official listed on South Shore Nursing and Rehabilitation LLC's NPPES record is Paul Pruitt, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Shore Nursing and Rehabilitation LLC's NPI active?
- Yes — South Shore Nursing and Rehabilitation LLC's NPI (1609421676) is active in the NPPES registry as of the last update on 2023-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.