# ASHLAND NURSING HOME CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kingsbrook Lifecare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770681496
- **Authorized official:** MR. DANNY JOE BRAINARD RN BSHA (ADMINISTRATOR)
- **Authorized official phone:** (606) 324-1414

## Contact information

- **Practice address:** 2500 ST RT 5, ASHLAND, KY 41102
- **Practice address phone:** (606) 324-1414
- **Practice address fax:** (606) 324-3420
- **Mailing address:** 2500 ST RT 5, ASHLAND, KY 41102
- **Mailing address phone:** (606) 324-1414
- **Mailing address fax:** (606) 324-3420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100029 | KY | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 03/09/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000246141 | ANTHEM BLUE CROSS | — |
| 05 | — | 12504304 | — | KY |