Provider Demographics
NPI:1427770676
Name:LORETTO LIVING CENTER AT LORETTO MOTHERHOUSE INC
Entity type:Organization
Organization Name:LORETTO LIVING CENTER AT LORETTO MOTHERHOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSEX
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:270-865-5811
Mailing Address - Street 1:515 NERINX RD
Mailing Address - Street 2:
Mailing Address - City:NERINX
Mailing Address - State:KY
Mailing Address - Zip Code:40049-9998
Mailing Address - Country:US
Mailing Address - Phone:270-865-5811
Mailing Address - Fax:270-865-7070
Practice Address - Street 1:515 NERINX RD
Practice Address - Street 2:
Practice Address - City:NERINX
Practice Address - State:KY
Practice Address - Zip Code:40049-9998
Practice Address - Country:US
Practice Address - Phone:270-865-5811
Practice Address - Fax:270-865-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility