Annville Adult Day Healthcare Center
LBN: New Jackson Manor, Llc
Annville Adult Day Healthcare Center is an health care organization with primary practice located at 68 Hwy 3444 , Annville KY 40402. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty.
New Jackson Manor, Llc can be contacted via phone (606) 364-5197, or through Barber, Robin L. via phone (502) 753-6004.
Contact Information
Primary practice address
68 Hwy 3444
Annville KY 40402
Phone: (606) 364-5197
Fax: (606) 364-2293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | ||
| Ambulatory Health Care Facilities / Adult Day Care | 261QA0600X | 750066 | Kentucky |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 100602 | Kentucky |
Profile Details
| NPI number | 1407845639 |
|---|---|
| LBN Legal business name | New Jackson Manor, Llc |
| DBA Doing business as | Annville Adult Day Healthcare Center |
| Authorized official | Barber, Robin L. J.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Oct 23rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407845639 | NPPES |
| Kentucky | MEDICAID | 7100174140 |
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