Parkside Manor I LLC
Organization Active NPI Assisted Living Facility (Mental Illness) · Cynthiana, KY
NPI 1003629262 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1003629262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility (Mental Illness) 3104A0625X
- Legal business name
- PARKSIDE MANOR I LLC
- Practice address
- 317 Oddville Ave Ste B
Cynthiana, KY 41031-1142 - Phone
- (516) 708-3503
- NPI assigned
- Jan 30, 2025
- Organization subpart
- No
Authorized official
- Name
- Raquel Edery
- Title
- Coo
- Phone
- (516) 708-3503
National Provider Directory
Locations
317 Oddville Ave
Ste B
Cynthiana, KY 41031
Phone (859) 234-4430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Yes |
Addresses
Primary practice location
317 Oddville Ave Ste B
Cynthiana, KY 41031-1142
Mailing address
455 Central Ave Ste 215
Cedarhurst, NY 11516-2008
Phone (516) 708-3503
Other providers in Cynthiana, KY
- New Vista of the Bluegrass Inc
- Richard Henry Norfleet
- Janet Olson
- Anna L Otis
- Parke Physicians PLLC
- Parkside Manor LLC
- Jeremy Lee Penn
- John Francis Peppin
- James Pettey
- John Pidakala
All providers in Cynthiana, KY · Assisted Living Facility (Mental Illness) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.