Healthcare Provider Details

I. General information

NPI: 1265479513
Provider Name (Legal Business Name): NHC HEALTHCARE-GLASGOW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 HOMEWOOD BLVD
GLASGOW KY
42141-3468
US

IV. Provider business mailing address

109 HOMEWOOD BLVD
GLASGOW KY
42141-3468
US

V. Phone/Fax

Practice location:
  • Phone: 270-651-6126
  • Fax:
Mailing address:
  • Phone: 270-651-6126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100015
License Number StateKY

VIII. Authorized Official

Name: BRANDON VINCENT
Title or Position: MANAGER
Credential:
Phone: 615-775-6800