Healthcare Provider Details

I. General information

NPI: 1407764384
Provider Name (Legal Business Name): NHI OPCO PADUCAH KY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5645 WATERFRONT WAY
PADUCAH KY
42001-5023
US

IV. Provider business mailing address

222 ROBERT ROSE DR
MURFREESBORO TN
37129-6346
US

V. Phone/Fax

Practice location:
  • Phone: 270-448-7777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: KEVIN PASCOE
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 615-890-9100