Healthcare Provider Details

I. General information

NPI: 1184038259
Provider Name (Legal Business Name): COLDSPRING TRANSITIONAL CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 08/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PLAZA DRIVE
COLD SPRING KY
41076
US

IV. Provider business mailing address

300 PLAZA DRIVE
COLD SPRING KY
41076
US

V. Phone/Fax

Practice location:
  • Phone: 859-441-4600
  • Fax: 859-441-4602
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAVID EPPERS
Title or Position: CFO
Credential: CPA
Phone: 513-943-4000