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Contact Information

PERSONAL GERI-CARE, LLC
150 W BEAR TRACK RD
CAMPBELLSVILLE, KY42718-8709
 Phone: 270-465-8133
 Fax: 270-789-1543
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PERSONAL GERI-CARE, LLC

NPI # 1710559463
LBN Legal business name PERSONAL GERI-CARE, LLC
Authorized official NISSAN FRIEDMAN - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2021
Last updated 01/15/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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