# LP HODGENVILLE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunrise Manor Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770865263
- **Authorized official:** JOHN HARRISON (CFO)
- **Authorized official phone:** (502) 568-7800

## Contact information

- **Practice address:** 717 N LINCOLN BLVD, HODGENVILLE, KY 42748-1622
- **Practice address phone:** (270) 358-3103
- **Mailing address:** 717 N LINCOLN BLVD, HODGENVILLE, KY 42748-1622
- **Mailing address phone:** (270) 358-3103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 750086 | KY | — |
| 314000000X | Skilled Nursing Facility | 100277 | KY | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 09/12/2011
- **Last updated:** 04/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100194560 | — | KY |
| 05 | — | 7100199630 | — | KY |