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BOURBON HEIGHTS INC. NPI 1053344457


NPI Information

NPI: 1053344457
Provider Name: BOURBON HEIGHTS, INC.
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 18D0671851

Address:
2000 MAIN ST
PARIS, KY
ZIP 40361
Phone: (859) 987-5750
Get Directions

BOURBON HEIGHTS, INC. is a nursing facility intermediate care facility in Paris, KY. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. BOURBON HEIGHTS, INC. NPI is 1053344457. The provider is registered as an organization entity type.

The provider's business location address is:

2000 MAIN ST
PARIS, KY
ZIP 40361-149
Phone: (859) 987-5750
Fax: (859) 987-6460

The provider's authorized official is Charlotte Lee Roberts .
The authorized official title is Administrator and has the following contact phone number (859) 987-5750.

The CLIA number assigned to this NPI record is 18D0671851 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 5/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility100024KENTUCKYNo
2313M00000XNursing Facility/Intermediate Care Facility100024KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1185283MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
21006360001MEDICARE NSC
3000000054629OTHERANTHEM BLUE CROSS BLUE SH
419401888OTHERSUMMIT WORKER'S COMP
5185283MEDICARE UPINKENTUCKY
612501664MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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