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Contact Information

GARRARD CONVALESCENT HOME SNF
425 GARRARD ST
COVINGTON, KY41011-2562
 Phone: 859-581-9393
 Fax: 859-291-2006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for GARRARD CONVALESCENT HOME SNF

NPI # 1255319471
LBN Legal business name GARRARD CONVALESCENT HOME SNF
Authorized official RALPH STACEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/06/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
KY License # 100266
KY Medicaid 12500948
KY Medicaid 1500955
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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