HBR Woodburn LLC
Organization Active NPI Skilled Nursing Facility · Woodburn, KY
NPI 1700989043 · NPPES record last updated Jan 31, 2015
Key facts
- NPI
- 1700989043
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- HBR WOODBURN LLC
- Practice address
- 460 S College
Woodburn, KY 42170-9638 - Phone
- (270) 529-2853
- Fax
- (270) 529-9836
- NPI assigned
- Sep 5, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SUNBRIDGE HEALTHCARE LLC
Authorized official
- Name
- Thomas Divittorio
- Title
- Cfo, Treasurer, Asst Secretary
- Phone
- (505) 468-4742
Member of 1
National Provider Directory
- Part of
- Terrace Hghts Nursing H
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | KY | Yes |
Addresses
Primary practice location
460 S College
Woodburn, KY 42170-9638
Mailing address
101 Sun Ave NE
Compliance Department
Albuquerque, NM 87109-4373
Phone (505) 468-5604
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12505277 | Medicaid | KY |
Other names
- Hopkins Center
Other providers in Woodburn, KY
- Emilee Bevil
- Vicky Lynn Burkhard
- Betty Jean Cummings
- Travis Dills
- Jennifer Elaine-Sweeney Hammons
- Hopkins Health Center LLC
- Carla Ann Mercer
- Karen Elizabeth Rogers
- Racheal D Sainato
- Charlene Saunders
All providers in Woodburn, 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 Jan 31, 2015. 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.