Presbyterian Homes and Services of Kentucky, Inc.
Organization Active NPI Skilled Nursing Facility · Elizabethtown, KY
NPI 1023005709 · NPPES record last updated Dec 8, 2017
Key facts
- NPI
- 1023005709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 100576 (KY)
- Legal business name
- PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
- Practice address
- 108 Diecks Dr
Elizabethtown, KY 42701-2450 - Phone
- (502) 259-9101
- Fax
- (502) 259-9109
- NPI assigned
- Sep 29, 2005
- Organization subpart
- No
Authorized official
- Name
- Hattie Wagner
- Title
- Ceo/President
- Phone
- (502) 259-9101
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 101012 | KY | |
| Skilled Nursing Facility | 314000000X | 101012 | KY | |
| Skilled Nursing Facility | 314000000X | 100576 | KY | Yes |
Addresses
Primary practice location
108 Diecks Dr
Elizabethtown, KY 42701-2450
Mailing address
PO Box 18067
Louisville, KY 40261-0067
Phone (502) 259-9101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101012 | Other | KY | OUTPATIENT THERAPY LICENSE |
| 100576 | Other | KY | SKILLED NURSING FACILITY LICENSE |
| 12500146 | Medicaid | KY |
Other names
- Helmwood Healthcare
Other providers in Elizabethtown, KY
- Praxair Healthcare Services, Inc
- Precious Memories Home Care
- Amy Preen
- Martin Thomas Klaus Preen
- Premier Home Care, Inc
- Presbyterian Homes and Services of Kentucky, Inc.
- Tamara Michele Prescott
- Mollie Vanessa Pretty on Top
- Carlee Price
- Shelby Price
All providers in Elizabethtown, KY · Skilled Nursing Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2017. 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.