Healthcare Provider Details

I. General information

NPI: 1245229046
Provider Name (Legal Business Name): NEW MEADOWVIEW HEALTH & REHABILITATION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 09/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 WHIPPS MILL RD
LOUISVILLE KY
40223-1103
US

IV. Provider business mailing address

9701 WHIPPS MILL RD
LOUISVILLE KY
40223-1103
US

V. Phone/Fax

Practice location:
  • Phone: 502-426-2778
  • Fax: 502-426-7211
Mailing address:
  • Phone: 502-426-2778
  • Fax: 502-426-7211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100226
License Number StateKY

VIII. Authorized Official

Name: MS. PENNY UPTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 502-426-2778