RESIDENTIAL CARE XII L.L.C. NPI 1134733686

NPI Information

RESIDENTIAL CARE XII L.L.C. is an assisted living facility in Louisville, KY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RESIDENTIAL CARE XII L.L.C. NPI is 1134733686. The provider is registered as an organization entity type.
The provider Is Doing Business As Forest Hills Commons.

The provider's business location address is:

9107 TAYLORSVILLE RD
LOUISVILLE, KY
ZIP 40299-751
Phone: (502) 499-5533
Fax: (502) 313-0299

The provider's authorized official is Steve Van Camp .
The authorized official title is Cfo Of Asc and has the following contact phone number (317) 788-2500.

The CLIA number assigned to this NPI record is 18D2118522 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2020 and was last updated on 9/25/2020.

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:

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