THE EPISCOPAL CHURCH HOME, INC.
Custodial Care Facility
Louisville, Kentucky
Provider NPI: 1811012289
Organization Information:Organization Name: THE EPISCOPAL CHURCH HOME, INC.
Practice Location:
7504 WESTPORT ROAD LOUISVILLE, KY 40222 US
Tel: 502-736-7800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
7504 WESTPORT ROAD LOUISVILLE, KY 40222 US
Tel: 502-736-7800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | KY | 100203 |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | KY | 100203 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | KY | 100203 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
12502225 | KY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin