PH Providence, LLC
Skilled Nursing Facility · Covington, KY
Practice location
401 E 20TH StCovington, KY 41014-1583
- Phone
- (845) 732-9410
NPI record
- NPI
- 1851795686
- Entity type
- Organization (Type 2)
- Enumeration date
- October 22, 2014
- Last updated
- October 22, 2014
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
— | — |
Mailing address
7444 Long AveSkokie, IL 60077-3214
- Phone
- (847) 329-4100
Authorized official
- Name
- Benjamin Klein
- Title
- Manager
- Phone
- (847) 329-4100
Other names
- Providence Pavilion
About PH Providence, LLC
PH Providence, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 401 E 20TH St, Covington, KY 41014-1583. The NPI number 1851795686 was assigned on October 22, 2014 and the record was last updated on October 22, 2014.
The authorized official for this organization is Benjamin Klein, Manager.
Frequently asked questions
What is the NPI number of PH Providence, LLC?
The NPI number is 1851795686.
What is the phone number of PH Providence, LLC?
The phone number listed for the practice location is (845) 732-9410.
Where is PH Providence, LLC located?
401 E 20TH St, Covington, KY 41014-1583.
What is the taxonomy code for PH Providence, LLC?
The primary taxonomy code is 314000000X – Skilled Nursing Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Skilled Nursing Facility providers in Covington
- St Elizabeth Medical Center Inc401 E 20TH Street
- GC Home Holdings, LLC401 E 20TH St
- St Elizabeth Medical Center Skilled Facility401 E 20TH St
- Pavilion at Kenton for Nursing and Rehabilitation LLC401 E 20TH St