# PEMBROKE OPERATING COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Christian Heights Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760967079
- **Authorized official:** MOSHE KELMAN (MANAGING MEMBER)
- **Authorized official phone:** (270) 475-4227

## Contact information

- **Practice address:** 124 W NASHVILLE ST, PEMBROKE, KY 42266-9763
- **Practice address phone:** (270) 475-4227
- **Practice address fax:** (270) 475-4173
- **Mailing address:** 124 W NASHVILLE ST, PEMBROKE, KY 42266-9763
- **Mailing address phone:** (270) 475-4227
- **Mailing address fax:** (270) 475-4173

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2018
- **Last updated:** 09/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100069 | LICENSE | KY |
| 05 | — | 7100579270 | — | KY |