# PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Helmwood Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023005709
- **Authorized official:** HATTIE WAGNER (CEO/PRESIDENT)
- **Authorized official phone:** (502) 259-9101

## Contact information

- **Practice address:** 108 DIECKS DR, ELIZABETHTOWN, KY 42701-2450
- **Practice address phone:** (502) 259-9101
- **Practice address fax:** (502) 259-9109
- **Mailing address:** PO BOX 18067, LOUISVILLE, KY 40261-0067
- **Mailing address phone:** (502) 259-9101
- **Mailing address fax:** (502) 259-9109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 101012 | KY | — |
| 314000000X | Skilled Nursing Facility | 100576 | KY | Yes |
| 314000000X | Skilled Nursing Facility | 101012 | KY | — |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 12/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100576 | SKILLED NURSING FACILITY LICENSE | KY |
| 01 | — | 101012 | OUTPATIENT THERAPY LICENSE | KY |
| 05 | — | 12500146 | — | KY |