PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC. - NPI 1902839020

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.

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About Presbyterian Homes And Services Of Kentucky, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC. (NPI 1902839020) is a healthcare organization registered as a rehabilitation in Elizabethtown, Kentucky and active in the NPI registry since July 2006. The organization lists Hattie Wagner, President, as its authorized official.

NPPES Registry Identity

NPI1902839020

Entity TypeOrganization

Primary Taxonomy261QR0400X

Legal Business NamePRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.

Location Address106 DIECKS DRIVEElizabethtown, KY 42701

Mailing AddressPo Box 18067Louisville, KY 40261-0067 · (270) 769-0058 · Fax (270) 737-3096

Phone(270) 769-0058

Fax(270) 737-3096

Organization SubpartYes

Authorized OfficialHattie WagnerPresident · (502) 259-9101

Enumeration DateJuly 9, 2006

Last NPPES UpdateNovember 2, 2017

✔ NPI 1902839020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

License✔ Licensed in KY · 101012

Also ListedPhysical TherapistTaxonomy 225100000X · License 002058 (KY), 004490 (KY)

Also ListedOccupational TherapistTaxonomy 225X00000X · License R2591 (KY), R2338 (KY)

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 2470 (KY)

106 DIECKS DRIVE, Elizabethtown, KY 42701

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Other Identifiers 1

Medicare ID-Type Unspecified186517KY · Medicare Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REGINA G. HODGES

Physical Therapy Assistant