Madonna Manor Inc
Organization Active NPI Home Health Agency · Villa Hills, KY
NPI 1053658872 · NPPES record last updated Jan 14, 2013
Key facts
- NPI
- 1053658872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- MADONNA MANOR INC
- Practice address
- 2344 Amsterdam Rd
Villa Hills, KY 41017-3712 - Phone
- (859) 426-6400
- Fax
- (859) 578-7472
- NPI assigned
- Jan 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Mark Mullahy
- Title
- Executive Director
- Phone
- (859) 426-6400
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | KY | Yes | |
| Skilled Nursing Facility | 314000000X | 185241 | KY |
Addresses
Primary practice location
2344 Amsterdam Rd
Villa Hills, KY 41017-3712
Mailing address
2344 Amsterdam Rd
Villa Hills, KY 41017-3712
Phone (859) 426-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043215296 | Other | KY | NPI |
Other names
- Madonna Manor Home Health
Other providers in Villa Hills, KY
- James Donovan
- Michelle Ann Fessler
- Cole Frederick Goodridge
- Ashley Lynn Hensley
- Diana Sue Hutton
- Madonna Manor, Inc.
- Bridget Minks
- Heather Leigh Ratliff
- Lauren C Schneider
- Stephanie J Silber
All providers in Villa Hills, KY · Home Health Agency 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 14, 2013. 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.