Organization · Type 2 NPI

Elizabethtown Opco LLC

Skilled Nursing Facility · Elizabethtown, KY

NPI number 1689159972 Active

Practice location

1101 Woodland Dr
Elizabethtown, KY 42701-2749

Fax (270) 737-6690

Specialties and licenses

Taxonomy	Code	License
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: 1689159972
Entity type: Organization (Type 2)
Issued: Oct 2, 2018
Last updated: Sep 1, 2022
Status: Active

Other names

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Elizabethtown Nursing and Rehabilitation Center · doing business as
Elizabethtown Nursing and Rehabilitation Center · doing business as

Authorized official

Moshe Kelman
Managing Member
(270) 765-6106

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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 1689159972

Elizabethtown Opco LLC's National Provider Identifier is 1689159972, issued on Oct 2, 2018. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Elizabethtown, KY. The record was last updated on Sep 1, 2022.