Jackson Manor Llc

LBN: Jackson Manor Llc
Jackson Manor Llc is an health care organization with primary practice located at 96 Highway 3444 , Annville KY 40402-8245. 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. Jackson Manor Llc can be contacted via phone (502) 714-7444, or through Barber, Robin via phone (502) 714-7444.

Contact Information

Primary practice address
96 Highway 3444 Annville KY 40402-8245
Phone: (502) 714-7444
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barber, Robin
Phone: (502) 714-7444

Health care specialties

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

Profile Details

NPI number 1902250012
LBN Legal business name Jackson Manor Llc
DBA Doing business as
Authorized official Barber, Robin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2016
Last updated Apr 15th, 2016 - about 10 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 1902250012 NPPES
Kentucky MEDICAID 12504965

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