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Contact Information

MT. LEBANON PERSONAL CARE HOME INC.
1015 MAGAZINE STREET
LOUISVILLE, KY40203
 Phone: 502-589-0727
 Fax: 502-589-3086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for MT. LEBANON PERSONAL CARE HOME INC.

NPI Number 1083697452
LBN Legal business name MT. LEBANON PERSONAL CARE HOME INC.
Authorized official REGINA LYONS - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2005
Last updated 07/17/2008 - About 18 years ago
Identifiers
KY License # 100536
KY Medicaid 12502126
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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