# COVINGTON'S CONVALESCENT CENTER, INC.

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

## Provider details

- **NPI number:** 1942310982
- **Authorized official:** MR. WILLIAM E. COVINGTON (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (270) 886-4403

## Contact information

- **Practice address:** 115 CAYCE ST, HOPKINSVILLE, KY 42240-3019
- **Practice address phone:** (270) 886-4403
- **Practice address fax:** (270) 886-4406
- **Mailing address:** 115 CAYCE ST, HOPKINSVILLE, KY 42240-3019
- **Mailing address phone:** (270) 886-4403
- **Mailing address fax:** (270) 886-4406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | 100067 | KY | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100067 | KY | — |
| 314000000X | Skilled Nursing Facility | 100067 | KY | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 04/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12500633 | — | KY |