Healthcare Provider Details

I. General information

NPI: 1114470937
Provider Name (Legal Business Name): BARDSTOWN HEALTHCARE AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2016
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 LIFE CARE WAY
BARDSTOWN KY
40004-2059
US

IV. Provider business mailing address

120 LIFE CARE WAY
BARDSTOWN KY
40004-2059
US

V. Phone/Fax

Practice location:
  • Phone: 502-348-4220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateKY

VIII. Authorized Official

Name: JOSEPH SCHWARTZ
Title or Position: MANAGER
Credential:
Phone: 201-635-1195