Provider Demographics
NPI:1114134103
Name:MSHI LLC
Entity Type:Organization
Organization Name:MSHI LLC
Other - Org Name:WINDSOR CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:COOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LSW, LNHA
Authorized Official - Phone:859-498-3343
Mailing Address - Street 1:125 STERLING WAY
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1172
Mailing Address - Country:US
Mailing Address - Phone:859-498-3343
Mailing Address - Fax:859-498-9769
Practice Address - Street 1:125 STERLING WAY
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1172
Practice Address - Country:US
Practice Address - Phone:859-498-3343
Practice Address - Fax:859-498-9769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS43000918Medicaid