Provider Demographics
NPI:1659481943
Name:KHOI NEW LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:KHOI NEW LIMITED PARTNERSHIP
Other - Org Name:KINDRED TRANSITIONAL CARE AND REHABILITATION - BIRCHWOOD TERRACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7563
Mailing Address - Street 1:680 S. 4TH STREET
Mailing Address - Street 2:KH-2 REIMBURSEMENT
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-2407
Mailing Address - Country:US
Mailing Address - Phone:502-596-7563
Mailing Address - Fax:502-596-4134
Practice Address - Street 1:43 STARR FARM RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401
Practice Address - Country:US
Practice Address - Phone:802-863-6384
Practice Address - Fax:802-865-4516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT27-0000369314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT475003OtherBLUE CROSS BLUE SHIELD
VT638189OtherUNITED HEALTH CARE
VT47-5003Medicaid
475003Medicare Oscar/Certification