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BLUEGRASS HORIZON LLC NPI 1699222570


NPI Information

NPI: 1699222570
Provider Name: BLUEGRASS HORIZON LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 18D2199260

Address:
451 QUISENBERRY RD
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 403-1708
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BLUEGRASS HORIZON LLC is a substance abuse rehabilitation facility in Campbellsville, KY. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BLUEGRASS HORIZON LLC NPI is 1699222570. The provider is registered as an organization entity type.

The provider's business location address is:

451 QUISENBERRY RD
CAMPBELLSVILLE, KY
ZIP 42718-005
Phone: (270) 403-1708

The provider's authorized official is Jefra Bland Hines .
The authorized official title is Owner and has the following contact phone number (270) 403-1708.

The CLIA number assigned to this NPI record is 18D2199260 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2016 and was last updated on 9/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityKENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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