Healthcare Provider Details

I. General information

NPI: 1285591230
Provider Name (Legal Business Name): METCALFE OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SKYLINE DR
EDMONTON KY
42129-8131
US

IV. Provider business mailing address

701 SKYLINE DR
EDMONTON KY
42129-8131
US

V. Phone/Fax

Practice location:
  • Phone: 270-432-2921
  • Fax: 270-432-2046
Mailing address:
  • Phone: 270-432-2921
  • Fax: 270-432-2046

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: MOSHE KELMAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 270-432-2921