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NPI Code Detail

MEDICARE: ST MATTHEWS TRANSITIONAL CARE LLC

MEDICARE: ST MATTHEWS TRANSITIONAL CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1629904800
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST MATTHEWS TRANSITIONAL CARE LLC
Provider Business Mailing Address
First Line : 949 CONNER ST FL 2ND
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-2622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 227 BROWNS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-3215
Country : US
Telephone Number : 463-278-0868
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : BERNARD MCGUINNESS
Credential :
Telephone Number : 463-278-0868
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “ST MATTHEWS TRANSITIONAL CARE LLC ” Practice Location

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