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NPI 1457614075

NPI 1457614075 : TRILOGY HEALTHCARE OF FAYETTE I, LLC : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1457614075
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRILOGY HEALTHCARE OF FAYETTE I, LLC 
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Dates
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    Enumeration Date     |    06/19/2012
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    2531 OLD ROSEBUD RD 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40509-4574
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    Country              |    US
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    Telephone            |    859-543-0337
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    Fax                  |    859-543-0338
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Provider Business Mailing Address
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    Address Line         |    2531 OLD ROSEBUD RD 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40509-4574
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    Country              |    US
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    Telephone            |    859-543-0337
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    Fax                  |    859-543-0338
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Authorized Official
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    Title or Position    |    EVP & CLO
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    Name                 |     CRISTINA  PIETROWSKI 
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    Credential           |    
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    Telephone            |    502-213-7572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    
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    License Number State |    
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