J & R LAGRANGE, LLC — NPI 1700978806 (Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) in LAGRANGE, KY)

CMS-1500 Box 24J / 33a • NPI

1700978806

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

314000000X (CMS A1[8])

Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)

Box 32 Service Location & ZIP+4

1012 RICHWOOD WAY, LAGRANGE, KY, 40031-8930

✓ 9-Digit EDI 837 ZIP+4 (40031-8930)

Practice Phone & Referral Fax

(502) 222-3186

Fax: (502) 222-6535

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1700978806 (J & R LAGRANGE, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1700978806` (NPI-2 Organization / Facility)
Provider / Legal Name	J & R LAGRANGE, LLC
Plain-English Specialty	Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) NUCC Code: `314000000X` (Skilled Nursing Facility)
Certifying / Licensing Body	CMS Five-Star Quality Rating System / State Department of Health
Practice Location Address	1012 RICHWOOD WAY, LAGRANGE, KY, 40031-8930
Practice Telephone / Fax	Tel: (502) 222-3186 \| Fax: (502) 222-6535
Administrative Mailing Address	1012 RICHWOOD WAY, LAGRANGE, KY, 40031-8930
Enumeration & Last Sync	Enumerated: 2006-09-28 \| CMS Record Updated: 2008-06-24
Authorized Official	MARK BOWMAN (PRESIDENT)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1012 RICHWOOD WAY, LAGRANGE, KY, 40031-8930

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Plain-English Taxonomy & CMS Crosswalk (314000000X)

What Does Taxonomy Code 314000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 314000000X translates to:
"Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A1[8] (Skilled Nursing Facility)
Certifying / Accrediting Authority: CMS Five-Star Quality Rating System / State Department of Health
Clinical Scope: Inpatient rehabilitation and 24-hour skilled nursing care following major surgery, stroke, or prolonged hospitalization.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (J & R LAGRANGE, LLC)

Typical CPT / Diagnostic Procedures:

24-Hour Skilled Nursing Supervision, Enteral Nutrition & Pressure Ulcer Prevention
Post-Acute Orthopedic, Cardiac & Neurological Inpatient Rehabilitation

Common Therapeutic Classes:

Chronic Disease Maintenance Regimens, Analgesics & Thromboprophylaxis

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`332B00000X` — Durable Medical Equipment & Medical Supplies Plain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies	State: KY \| License: `100818` \| Primary: Secondary
`332BP3500X` — Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition Plain English: Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	State: KY \| License: `100818` \| Primary: Secondary
`335E00000X` — Prosthetic/Orthotic Supplier Plain English: Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier	State: KY \| License: `100818` \| Primary: Secondary
`332BN1400X` — Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies Plain English: Licensed & Credentialed Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies	State: N/A \| License: `Verified` \| Primary: Secondary
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Secondary
`235Z00000X` — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers	State: N/A \| License: `Verified` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: N/A \| License: `Verified` \| Primary: Secondary
`314000000X` — Skilled Nursing Facility Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: KY \| License: `100818` \| Primary: Yes (Primary)

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J & R LAGRANGE, LLC (NPI #1700978806)