# KENTUCKY MEDICAL INVESTORS, 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:** Laurel Creek Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114964905
- **Authorized official:** CINDY S CROSS (ASST. SECRETARY FOR LCCA, MANAGER)
- **Authorized official phone:** (423) 473-5867

## Contact information

- **Practice address:** 1033 N HIGHWAY 11, MANCHESTER, KY 40962-5478
- **Practice address phone:** (606) 598-6163
- **Practice address fax:** (606) 598-6154
- **Mailing address:** 3001 KEITH ST NW, CLEVELAND, TN 37312-3713
- **Mailing address phone:** (423) 473-5751
- **Mailing address fax:** (423) 339-8342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100502 | KY | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 06/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12502027 | — | KY |