OrganizationActive
Jackson Manor LLC
NPI 1902250012 · Skilled Nursing Facility · Annville, KY
Jackson Manor LLC is a Skilled Nursing Facility organization in Annville, KY (NPI 1902250012).
Provider details
- NPI number
- 1902250012
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Robin Barber, Executive Vice President(502) 714-7444
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
96 Highway 3444
Annville, KY 40402-8245
Phone: (502) 714-7444
Street-level locationGet directions
Mailing address
700 N Hurstbourne Pkwy
Louisville, KY 40222-5393
Registry dates
- Enumerated
- 2016-04-15
- Last updated
- 2016-04-15
Frequently asked questions
- What is Jackson Manor LLC's NPI number?
- Jackson Manor LLC's National Provider Identifier (NPI) is 1902250012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Manor LLC?
- Jackson Manor LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Jackson Manor LLC located?
- Jackson Manor LLC's practice location on file with NPPES is 96 Highway 3444, Annville, KY 40402-8245.
- What is Jackson Manor LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Manor LLC is (502) 714-7444.
- Who is the authorized official for Jackson Manor LLC?
- The authorized official listed on Jackson Manor LLC's NPPES record is Robin Barber, Executive Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Manor LLC's NPI active?
- Yes — Jackson Manor LLC's NPI (1902250012) is active in the NPPES registry as of the last update on 2016-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.