Organization
NEW JACKSON MANOR, LLC
Active
Other names
Annville Adult Day Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L. BARBER J.D. (VICE PRESIDENT)
(502) 753-6004
Entity
Organization
Contact information
Practice address
68 HWY 3444, ANNVILLE, KY 40402
(606) 364-5197
(606) 364-2293
Mailing address
9510 ORMSBY STATION ROAD, SUITE 101, LOUISVILLE, KY 40223
(502) 753-6004
(502) 753-6104
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
750066
KY
261QA0600X
Adult Day Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
100602
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100174140
—
KY
Enumeration date
10/20/2005
Last updated
10/23/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us