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Contact Information

HOMESTEAD NURSING CENTER, LLC
1608 VERSAILLES ROAD
LEXINGTON, KY40504-2402
 Phone: 859-252-0871
 Fax: 859-389-9571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for HOMESTEAD NURSING CENTER, LLC

NPI Number 1407948938
LBN Legal business name HOMESTEAD NURSING CENTER, LLC
Authorized official MARK BOWMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 10/02/2007 - About 19 years ago
Identifiers
KY License # 100108
KY Medicaid 12501003
KY Other 00000054847 ANTHEM BC/BS
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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