<Unavail>

LBN: Commonwealth Of Kentucky
<Unavail> is an health care organization with primary practice located at 4401-4505 Louise Underwood Way , Louisville KY 40216. 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) 363-6421, or through Moore, Jennifer via phone (502) 782-6117.

Contact Information

Primary practice address
4401-4505 Louise Underwood Way Louisville KY 40216
Phone: (502) 363-6421
Fax: (502) 363-2215
Website:
Map and Directions
Authorized official contact:
Name: Moore, Jennifer
Phone: (502) 782-6117

Health care specialties

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

Profile Details

NPI number 1083785125
LBN Legal business name Commonwealth Of Kentucky
DBA Doing business as <Unavail>
Authorized official Moore, Jennifer
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 12th, 2006
Last updated Aug 7th, 2024 - about 2 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 1083785125 NPPES
Kentucky MEDICAID 11906260

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