# EDGEMONT HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922098227
- **Authorized official:** MRS. BONNIE HAEFER (SECERTARY TREASURER)
- **Authorized official phone:** (859) 987-5523

## Contact information

- **Practice address:** 323 WEBSTER AVE, CYNTHIANA, KY 41031-1648
- **Practice address phone:** (859) 234-4595
- **Practice address fax:** (859) 234-8070
- **Mailing address:** 323 WEBSTER AVE, CYNTHIANA, KY 41031-1648
- **Mailing address phone:** (859) 234-4595
- **Mailing address fax:** (859) 234-8070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100166 | KY | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 08/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100005340 | — | KY |