Healthcare Provider Details
I. General information
NPI: 1720162399
Provider Name (Legal Business Name): CONTINUING CARE HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2006
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
ONE SAINT JOSEPH DRIVE
LEXINGTON KY
40504
US
IV. Provider business mailing address
ONE SAINT JOSEPH DRIVE
LEXINGTON KY
40504
US
V. Phone/Fax
- Phone: 859-313-3828
- Fax: 859-313-3832
- Phone: 859-967-5744
- Fax: 859-967-5616
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282E00000X |
| Taxonomy | Long Term Care Hospital |
| License Number | 115445 |
| License Number State | KY |
VIII. Authorized Official
Name:
ROBERT
CLARK
DESOTELLE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 859-313-3828