Organization · Type 2 NPI

Commonwealth of Kentucky

Skilled Nursing Facility · Lexington, KY

NPI number 1356764559 Active

Practice location

1350 Bull Lea Rd
Lexington, KY 40511-1247

Fax (859) 246-8043

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility	313M00000X	101245 (KY)
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1356764559
Entity type: Organization (Type 2)
Issued: Jan 24, 2014
Last updated: Nov 3, 2015
Status: Active
Subpart: Yes of Commonwealth of Kentucky

Other names

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Eastern State Hospital Long Term Care/acquired Brain Injury (ltc/abi) · doing business as

Authorized official

Ms. Wendy T Morris
Deputy Commissioner
(502) 564-4860

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356764559

Commonwealth of Kentucky's National Provider Identifier is 1356764559, issued on Jan 24, 2014. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Lexington, KY. The record was last updated on Nov 3, 2015.