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Princeton Ky Opco LLC

Skilled Nursing Facility in Princeton, KY. Organization (NPI-2).

NPI number1164072682
StatusActive
Last updated in NPPESOct 9, 2024

Details

NPI
1164072682
Entity type
Organization (NPI-2)
Legal business name
Princeton Ky Opco LLC
Organization subpart
No
Enumeration date
Sep 17, 2019
Certification date
Oct 9, 2024
Last updated
Oct 9, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART A PROVIDER - SKILLED NURSING FACILITY
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes
385H00000X Respite Care––

Other names

  • Princeton Nursing & Rehabilitation (Doing Business As)

Practice location

1333 W Main St
Princeton, KY 42445-6211

Phone 270-365-3541

Mailing address

2100 Cherokee Ridge Way Ste 100
Louisville, KY 40205-1600

Phone 502-667-8150

Authorized official

Mick Vujanovic
Ceo
5026678150

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Skilled Nursing Facility providers in Princeton, KY

All 5 Skilled Nursing Facility providers in Princeton · All 167 providers in Princeton

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