Colonial Terrace Intermediate Care, Inc.

LBN: Colonial Terrace Intermediate Care, Inc.
Colonial Terrace Intermediate Care, Inc. is an health care organization with primary practice located at 142 Roger Powell Rd , Sebree KY 42455-2115. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Colonial Terrace Intermediate Care, Inc. can be contacted via phone (270) 835-2533, or through Skaggs, Terry Lynn via phone (270) 926-9355.

Contact Information

Primary practice address
142 Roger Powell Rd Sebree KY 42455-2115
Fax: (270) 853-9004
Website:
Authorized official contact:
Name: Skaggs, Terry Lynn

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100440 Kentucky
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 100440 Kentucky

Profile Details

NPI number 1992790802
LBN Legal business name Colonial Terrace Intermediate Care, Inc.
DBA Doing business as
Authorized official Skaggs, Terry Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2005
Last updated Apr 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992790802 NPPES
Kentucky MEDICAID 12501789

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