Middlesboro Health Care Facility

LBN: Middlesboro Manor Llc
Middlesboro Health Care Facility is an health care organization with primary practice located at 235 New Wilson Ln , Middlesboro KY 40965-2705. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Middlesboro Manor Llc can be contacted via phone (606) 248-0925, or through Morrow, Kimberly via phone (859) 623-0898.

Contact Information

Primary practice address
235 New Wilson Ln Middlesboro KY 40965-2705
Fax: (606) 242-2544
Website:
Authorized official contact:
Name: Morrow, Kimberly

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100639 Kentucky

Profile Details

NPI number 1881683480
LBN Legal business name Middlesboro Manor Llc
DBA Doing business as Middlesboro Health Care Facility
Authorized official Morrow, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 25th, 2013 - about 11 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 1881683480 NPPES
Kentucky MEDICAID 12504205
Kentucky MEDICAID 7100244560
Kentucky MEDICAID 90160763

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