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NPI 1104141357ActiveOrganization· Assisted Living Facility· Taylorsville, KY
Assisted Living Facility in Taylorsville, Kentucky, registered in NPPES in March 2010. The authorized official on file is Lisa M. Keown, ARNP, Arnp.
Overview
| NPI | 1104141357 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2010 |
| Last updated in NPPES | Mar 31, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 3968P | KY |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | 3968P | KY |
| Nursing Facility/Intermediate Care Facility | 313M00000X | 3968P | KY |
| Skilled Nursing Facility | 314000000X | 3968P | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
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