# CAMPBELLSVILLE OPERATING COMPANY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Campbellsville Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063997344
- **Authorized official:** MOSHE KELMAN (MANAGING MEMBER)
- **Authorized official phone:** (270) 465-3506

## Contact information

- **Practice address:** 1980 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718-2536
- **Practice address phone:** (270) 465-3506
- **Practice address fax:** (270) 789-4010
- **Mailing address:** 1980 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718-2536
- **Mailing address phone:** (270) 465-3506
- **Mailing address fax:** (270) 789-4010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2018
- **Last updated:** 09/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100392 | LICENSE | KY |
| 05 | — | 7100580850 | — | KY |