# KINDRED NURSING CENTERS LIMITED PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Manor Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083628903
- **Authorized official:** MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
- **Authorized official phone:** (502) 596-7300

## Contact information

- **Practice address:** 401 INDIANA AVE, MAYFIELD, KY 42066-1766
- **Practice address phone:** (270) 247-0200
- **Practice address fax:** (270) 247-8913
- **Mailing address:** 680 S. FOURTH STREET, LOUISVILLE, KY 40202-2407
- **Mailing address phone:** (502) 596-6505
- **Mailing address fax:** (502) 596-4134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100481 | KY | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 09/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12503561 | — | KY |
| 01 | — | 54428 | ANTHEM BCBS OF KY | KY |
| 01 | — | 70037899 | US DEPT. OF LABOR | KY |