Organization
HOMESTEAD NURSING CENTER OF NEW CASTLE, KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BOWMAN (PRESIDENT)
(859) 272-6682
Entity
Organization
Contact information
Practice address
50 ADAMS STREET, NEW CASTLE, KY 40050-3054
(502) 845-2861
(502) 845-1287
Mailing address
PO BOX 329, NEW CASTLE, KY 40050-0329
(502) 845-2861
(502) 845-1287
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100435
KY
332B00000X
Durable Medical Equipment & Medical Supplies
100435
KY
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
100435
KY
335E00000X
Prosthetic/Orthotic Supplier
100435
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225678
ANTHEM BC/BS
KY
05
—
12502282
—
KY
01
—
2705925000
PASSPORT ADVANTAGE
KY
Enumeration date
10/12/2006
Last updated
10/02/2007
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