Dover Manor, Inc.

LBN: Dover Manor, Inc.
Dover Manor, Inc. is an health care organization with primary practice located at 112 Dover Dr , Georgetown KY 40324-9741. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Durable Medical Equipment & Medical Supplies. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Dover Manor, Inc. can be contacted via phone (502) 863-9529, or through Mcintosh, Deborah J via phone (270) 338-2401.

Contact Information

Primary practice address
112 Dover Dr Georgetown KY 40324-9741
Phone: (502) 863-9529
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcintosh, Deborah J
Phone: (270) 338-2401

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100480 Kentucky
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 90003377 Kentucky

Profile Details

NPI number 1922001148
LBN Legal business name Dover Manor, Inc.
DBA Doing business as
Authorized official Mcintosh, Deborah J
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Aug 18th, 2008 - about 18 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 1922001148 NPPES
Kentucky Other 000000316058 ANTHEM BLUE CROSS PART B
Kentucky MEDICAID 90003377 ANTHEM BLUE CROSS PART B
Kentucky Other 000000271318 ANTHEM BLUE CROSS PART B
Kentucky MEDICAID 12501755 ANTHEM BLUE CROSS PART B

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