Provider Demographics
NPI:1891270195
Name:HARDINSBURG HEALTH CENTER LLC
Entity Type:Organization
Organization Name:HARDINSBURG HEALTH CENTER LLC
Other - Org Name:HARDINSBURG NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:KELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-756-2159
Mailing Address - Street 1:101 FAIRGROUNDS RD
Mailing Address - Street 2:
Mailing Address - City:HARDINSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40143-2583
Mailing Address - Country:US
Mailing Address - Phone:270-756-2159
Mailing Address - Fax:270-756-6839
Practice Address - Street 1:101 FAIRGROUNDS RD
Practice Address - Street 2:
Practice Address - City:HARDINSBURG
Practice Address - State:KY
Practice Address - Zip Code:40143-2583
Practice Address - Country:US
Practice Address - Phone:270-756-2159
Practice Address - Fax:270-756-6839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY100041OtherLICENSE
KY7100580980Medicaid