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Organization
HOMESTEAD NURSING CENTER OF NEW CASTLE, KENTUCKY, LLC
Active
Organization
HOMESTEAD NURSING CENTER OF NEW CASTLE, KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BOWMAN (PRESIDENT)
(859) 272-6682
Entity
Organization
Contact information
Practice address
50 ADAMS STREET, NEW CASTLE, KY 40050-3054
(502) 845-2861
(502) 845-1287
Mailing address
PO BOX 329, NEW CASTLE, KY 40050-0329
(502) 845-2861
(502) 845-1287
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100435
KY
332B00000X
Durable Medical Equipment & Medical Supplies
100435
KY
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
100435
KY
335E00000X
Prosthetic/Orthotic Supplier
100435
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225678
ANTHEM BC/BS
KY
05
—
12502282
—
KY
01
—
2705925000
PASSPORT ADVANTAGE
KY
Enumeration date
10/12/2006
Last updated
10/02/2007
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