Healthcare Provider Details

I. General information

NPI: 1275522559
Provider Name (Legal Business Name): MENIFEE COUNTY NURSING HOME CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 BERRYMAN RD
FRENCHBURG KY
40322-8496
US

IV. Provider business mailing address

195 BERRYMAN RD
FRENCHBURG KY
40322-8496
US

V. Phone/Fax

Practice location:
  • Phone: 606-768-9001
  • Fax: 606-768-9005
Mailing address:
  • Phone: 606-768-9001
  • Fax: 606-768-9005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100700
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number750060
License Number StateKY

VIII. Authorized Official

Name: MS. ANNE WILLS
Title or Position: ADMINISTRATOR
Credential: NHA
Phone: 606-768-9001