MEDICARE: NEW TANBARK HEALTH CARE CENTER, 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
1	314000000X	Skilled Nursing Facility	100630	KY

General Provider Information

NPI Number	:	1942299748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW TANBARK HEALTH CARE CENTER, LLC

Provider Business Mailing Address
First Line	:	1121 TANBARK RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-1826
Country	:	US
Telephone Number	:	859-273-7377
Fax Number	:	859-271-7747

Provider Business Practice Location Address
First Line	:	1121 TANBARK RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-1826
Country	:	US
Telephone Number	:	859-273-7377
Fax Number	:	859-271-7747

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. CONJUNA COLLIER
Credential	:
Telephone Number	:	859-273-7377

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	03/24/2014

Similar Medicare Providers

1407226319 — LP LEXINGTON TANBARK ROAD, LLC
Practice Location Address:

1121 TANBARK RD
LEXINGTON, KY
40515-1826

Practice Phone: 859-273-7377
Practice Fax:

1487325049 — DELANEY SMITH BEST OTR/L
Practice Location Address:

1121 TANBARK RD
LEXINGTON, KY
40515-1826

Practice Phone: 859-273-7377
Practice Fax:

1639125404 — WILLIAM C ALLEN M.D.
Practice Location Address:

112 W HIGH ST
LEXINGTON, KY
40507-1826

Practice Phone: 859-523-3009
Practice Fax: 859-523-5007

1659541639 — BLUEGRASS TECHNOLOGY CENTER
Practice Location Address:

409 SOUTHLAND DRIVE
LEXINGTON, KY
40503-1826

Practice Phone: 859-294-4343
Practice Fax:

1205114220 — LINNIE S LEE
Practice Location Address:

409 SOUTHLAND DR
LEXINGTON, KY
40503-1826

Practice Phone: 859-294-4343
Practice Fax: 859-402-0905

1770861783 — DEBRA SUE SHARON
Practice Location Address:

409 SOUTHLAND DR
LEXINGTON, KY
40503-1826

Practice Phone: 859-294-4343
Practice Fax: 859-402-0950

Directions to “NEW TANBARK HEALTH CARE CENTER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.