Provider Demographics
NPI:1154935617
Name:KENTON POINTE LLC
Entity type:Organization
Organization Name:KENTON POINTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:TROVATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-759-4050
Mailing Address - Street 1:909 KENTON STATION DR
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-9616
Mailing Address - Country:US
Mailing Address - Phone:606-759-4050
Mailing Address - Fax:606-759-1207
Practice Address - Street 1:1455 KENTON POINTE WAY
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-1195
Practice Address - Country:US
Practice Address - Phone:606-759-0311
Practice Address - Fax:606-759-0317
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE OF HOPE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20130808101OtherASSISTED LIVING COMMUNITY CERTIFICATION