Hazelwood Center

LBN: Commonwealth Of Kentucky
Hazelwood Center is an health care organization with primary practice located at 1800 Bluegrass Ave , Louisville KY 40215-1130. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Commonwealth Of Kentucky can be contacted via phone (502) 361-2301, or through Marks, Katherine via phone (502) 782-6106.

Contact Information

Primary practice address
1800 Bluegrass Ave Louisville KY 40215-1130
Phone: (502) 361-2301
Fax: (502) 363-6114
Website:
Map and Directions
Authorized official contact:
Name: Marks, Katherine
Phone: (502) 782-6106

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 100211 Kentucky

Profile Details

NPI number 1033197967
LBN Legal business name Commonwealth Of Kentucky
DBA Doing business as Hazelwood Center
Authorized official Marks, Katherine
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 30th, 2005
Last updated Jun 28th, 2024 - about 5 months 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 1033197967 NPPES
Kentucky MEDICAID 11906070

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