# RBRC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rivers Bend Retirement Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508831033
- **Authorized official:** MR. DAVID T. BEAVEN (CFO)
- **Authorized official phone:** (270) 822-4218

## Contact information

- **Practice address:** 300 BEECH ST, KUTTAWA, KY 42055-6214
- **Practice address phone:** (270) 388-2868
- **Practice address fax:** (270) 388-2945
- **Mailing address:** PO BOX 127, UNIONTOWN, KY 42461-0127
- **Mailing address phone:** (270) 822-4218
- **Mailing address fax:** (270) 822-4210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 20010207201 | KY | — |
| 311Z00000X | Custodial Care Facility | 750050 | KY | — |
| 314000000X | Skilled Nursing Facility | 100686 | KY | Yes |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 100686 | KY | — |

## Other

- **Enumeration date:** 02/20/2006
- **Last updated:** 08/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1233760001 | PART B SUPPLIER NUMBER | KY |
| 05 | — | 12503652 | — | KY |
| 05 | — | 43020726 | — | KY |