# HENDERSON COUNTY HEALTH CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Redbanks Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194704999
- **Authorized official:** MR. MARK CHUMBLER (ADMINISTRATOR)
- **Authorized official phone:** (270) 826-6436

## Contact information

- **Practice address:** 851 KIMSEY LN, HENDERSON, KY 42420-2665
- **Practice address phone:** (270) 826-6436
- **Practice address fax:** (270) 826-7953
- **Mailing address:** 851 KIMSEY LN, HENDERSON, KY 42420-2665
- **Mailing address phone:** (270) 826-6436
- **Mailing address fax:** (270) 826-7953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100423 | KY | Yes |

## Other

- **Enumeration date:** 01/11/2006
- **Last updated:** 01/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12500591 | — | KY |
| 01 | — | 750171 | ADULT DAY HEALTH CARE | KY |
| 05 | — | 9000571100 | — | KY |
| 01 | — | D10725 | SALES TAX USAGE NUMBER | KY |