Healthcare Provider Details

I. General information

NPI: 1841289618
Provider Name (Legal Business Name): NEW SUMMERFIELD HEALTH & REHABILITATION CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 03/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1877 FARNSLEY RD
LOUISVILLE KY
40216-4701
US

IV. Provider business mailing address

1877 FARNSLEY RD
LOUISVILLE KY
40216-4701
US

V. Phone/Fax

Practice location:
  • Phone: 502-448-8622
  • Fax: 502-448-4274
Mailing address:
  • Phone: 502-448-8622
  • Fax: 502-448-4274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number100517
License Number StateKY

VIII. Authorized Official

Name: KEVIN FOOTE
Title or Position: ADMINISTRATOR
Credential:
Phone: 502-448-8622