# LORETTO MOTHERHOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386630028
- **Authorized official:** MICHELLE ESSEX (ADMINISTRATOR)
- **Authorized official phone:** (270) 856-5811

## Contact information

- **Practice address:** 515 NERINX RD, NERINX, KY 40049-9998
- **Practice address phone:** (270) 865-5811
- **Practice address fax:** (270) 865-5013
- **Mailing address:** 515 NERINX RD, NERINX, KY 40049-9998
- **Mailing address phone:** (270) 865-5811
- **Mailing address fax:** (270) 865-5013

## Taxonomy

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

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 05/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054559 | BC/BS OF KENTUCKY | KY |
| 05 | — | 12501839 | — | KY |