Provider Demographics
NPI:1740351733
Name:ROSE MANOR HCF LIMITED
Entity type:Organization
Organization Name:ROSE MANOR HCF LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADM.
Authorized Official - Prefix:
Authorized Official - First Name:MALESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-299-4117
Mailing Address - Street 1:3057 N CLEVELAND RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40516-9617
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:859-299-2836
Practice Address - Street 1:3057 N CLEVELAND RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40516-9617
Practice Address - Country:US
Practice Address - Phone:859-299-4117
Practice Address - Fax:859-299-2836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100115314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100232840Medicaid
KY12500427Medicaid
KY185322Medicare ID - Type UnspecifiedPROVIDER NUMBER