Healthcare Provider Details

I. General information

NPI: 1033108824
Provider Name (Legal Business Name): NEW HART COUNTY HEALTH CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 10/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 S DIXIE ST
HORSE CAVE KY
42749-1480
US

IV. Provider business mailing address

1505 S DIXIE ST
HORSE CAVE KY
42749-1480
US

V. Phone/Fax

Practice location:
  • Phone: 270-786-2200
  • Fax: 270-786-6102
Mailing address:
  • Phone: 270-786-2200
  • Fax: 270-786-6102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100662
License Number StateKY

VIII. Authorized Official

Name: MR. JIM REID
Title or Position: ADMINISTRATOR
Credential:
Phone: 270-786-2200