Pioneer Trace Group, Llc

LBN: Pioneer Trace Group, Llc
Pioneer Trace Group, Llc is an health care organization with primary practice located at 115 Pioneer Trce , Flemingsburg KY 41041-9665. 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. Pioneer Trace Group, Llc can be contacted via phone (606) 845-2131, or through Smith, Kimberly via phone (270) 839-1589.

Contact Information

Primary practice address
115 Pioneer Trce Flemingsburg KY 41041-9665
Phone: (606) 845-2131
Fax: (606) 845-3507
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kimberly NHA
Phone: (270) 839-1589

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 100484 Kentucky

Profile Details

NPI number 1285186924
LBN Legal business name Pioneer Trace Group, Llc
DBA Doing business as
Authorized official Smith, Kimberly NHA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2016
Last updated Nov 1st, 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 1285186924 NPPES
Kentucky Other 100484 FACILITY LICENSE

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