PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY INC. NPI 1902839020

NPI Information

NPI: 1902839020
Provider Name: PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
106 DIECKS DRIVE
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 769-0058
Get Directions

PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC. is a rehabilitation clinic center in Elizabethtown, KY. PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC. NPI is 1902839020. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

106 DIECKS DRIVE
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 769-0058
Fax: (270) 737-3096

The provider's authorized official is Hattie Wagner .
The authorized official title is President and has the following contact phone number (502) 259-9101.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 11/2/2017.

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
1	235Z00000X	Speech-Language Pathologist		2470	KENTUCKY	No
2	225100000X	Physical Therapist		002058	KENTUCKY	No
3	225100000X	Physical Therapist		004490	KENTUCKY	No
4	225X00000X	Occupational Therapist		R2591	KENTUCKY	No
5	225X00000X	Occupational Therapist		R2338	KENTUCKY	No
6	261QR0400X	Clinic/Center	Rehabilitation	101012	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	186517	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE NUMBER

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »