Ahf Kentucky-Iowa, Inc

Organization Active NPI Skilled Nursing Facility · Louisville, KY

NPI 1962486910 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1962486910
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
100208 (KY)
Legal business name
AHF KENTUCKY-IOWA, INC
Practice address
900 Gagel Ave
Louisville, KY 40216-4012
Phone
(502) 368-5827
Fax
(502) 361-0515
NPI assigned
Dec 2, 2005
Organization subpart
No

Authorized official

Name
Mr. Mark T Haemmerle, CPA, INACTIVE
Title
President
Phone
(614) 760-7352

National Provider Directory

Locations

4248 Tuller Rd
Dublin, OH 43017
Phone (614) 760-7352

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 100208 KY Yes

Addresses

Primary practice location

900 Gagel Ave
Louisville, KY 40216-4012

Mailing address

4248 Tuller Rd
Dublin, OH 43017-5025
Phone (614) 760-7352

Other identifiers

IdentifierTypeStateIssuer
12501169MedicaidKY

Other names

  • GEORGETOWN MANOR NURSING & REHAB Doing business as

Other providers in Louisville, KY

All providers in Louisville, KY · Skilled Nursing Facility in Kentucky

Sources for this page

Verify at the official NPI Registry.