Providence Pavilion

LBN: Ph Providence, Llc
Providence Pavilion is an health care organization with primary practice located at 401 E 20Th St , Covington KY 41014-1583. 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. Ph Providence, Llc can be contacted via phone (845) 732-9410, or through Klein, Benjamin via phone (847) 329-4100.

Contact Information

Primary practice address
401 E 20Th St Covington KY 41014-1583
Phone: (845) 732-9410
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klein, Benjamin
Phone: (847) 329-4100

Health care specialties

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

Profile Details

NPI number 1851795686
LBN Legal business name Ph Providence, Llc
DBA Doing business as Providence Pavilion
Authorized official Klein, Benjamin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2014
Last updated Oct 22nd, 2014 - 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.

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