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Contact Information

CHRISTIAN CARE CENTER OF KUTTAWA, LLC
1253 LAKE BARKLEY DRIVE
KUTTAWA, KY42055-6124
 Phone: 270-388-2291
 Fax: 270-388-0948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

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

NPI Profile & details for CHRISTIAN CARE CENTER OF KUTTAWA, LLC

NPI Number 1548402720
LBN Legal business name CHRISTIAN CARE CENTER OF KUTTAWA, LLC
Authorized official LISA CAWOOD-GRAY - (RISK CONSULTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2009
Last updated 10/14/2010 - About 16 years ago
Identifiers
KY License # 100300
KY Medicaid 7100070570
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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