Sunrise Manor

LBN: Larue County Geriatric Center, Inc.
Sunrise Manor is an health care organization with primary practice located at 80 Phillips Ln , Hodgenville KY 42748-1645. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Larue County Geriatric Center, Inc. can be contacted via phone (270) 358-3103, or through Loyall, Daphne S. via phone (270) 358-3103.

Contact Information

Primary practice address
80 Phillips Ln Hodgenville KY 42748-1645
Phone: (270) 358-3103
Fax: (270) 358-8412
Website:
Map and Directions
Authorized official contact:
Name: Loyall, Daphne S.
Phone: (270) 358-3103

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 750086 Kentucky
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100277 Kentucky
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 100277 Kentucky

Profile Details

NPI number 1003818303
LBN Legal business name Larue County Geriatric Center, Inc.
DBA Doing business as Sunrise Manor
Authorized official Loyall, Daphne S.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated May 26th, 2010 - about 14 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 1003818303 NPPES
Kentucky MEDICAID 43010628
Kentucky MEDICAID 12502233
Kentucky MEDICAID 100277

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