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General NPI Number Information
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NPI Number | 1720162399
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Entity Type | Organization
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Legal Business Name | CONTINUING CARE HOSPITAL, INC.
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | ONE SAINT JOSEPH DRIVE
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City | LEXINGTON
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State | KY
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Zip | 40504
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Country | US
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Telephone | 859-313-3828
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Fax | 859-313-3832
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Provider Business Mailing Address
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Address Line | ONE SAINT JOSEPH DRIVE
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City | LEXINGTON
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State | KY
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Zip | 40504
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Country | US
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Telephone | 859-967-5744
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Fax | 859-967-5616
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | ROBERT CLARK DESOTELLE
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Credential |
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Telephone | 859-313-3828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 115445
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License Number State | KY
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