SHADY LAWN LLC NPI 1467683730

NPI Information

  • NPI: 1467683730
  • Provider Name: SHADY LAWN LLC
  • Classification: Custodial Care Facility - 311Z00000X
  • Entity Type: Organization
  • CLIA Number: 18D1060096
  • Address: 108 SOUTH MILLER STREET
    CYNTHIANAN, KY
    ZIP 41031
  • Phone: (859) 234-2606

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NPI Details

SHADY LAWN LLC is a custodial care facility in Cynthianan, KY. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. SHADY LAWN LLC NPI is 1467683730. The provider is registered as an organization entity type.

The provider's business location address is:

108 SOUTH MILLER STREET
CYNTHIANAN, KY
ZIP 41031
Phone: (859) 234-2606
Fax: (859) 234-6684

The provider's authorized official is Kelli Lynn Bailey .
The authorized official title is Owner/administrator and has the following contact phone number (859) 234-2606.

The CLIA number assigned to this NPI record is 18D1060096 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2009 and was last updated on 8/4/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311Z00000XCustodial Care Facility100170KENTUCKYYes

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: 11/21/2025

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