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Memorial Hospital Inc
Supports Brokerage Agency in Manchester, Kentucky
NPI 1194744664

Memorial Hospital Inc is a Supports Brokerage Agency based in Manchester, KY. Memorial Hospital Inc practices in Manchester, KY. The NPI Number for Memorial Hospital Inc is 1194744664 and holds a License No. 150039 (Kentucky).

The current practice location address for Memorial Hospital Inc is 94 Marie Langdon Dr Ste 6, Manchester, KY and can be reached out via phone at 606-598-1969 and via fax at 606-598-2062. You can also correspond with Memorial Hospital Inc through the mailing address at 210 MARIE LANGDON DR, MANCHESTER, KY - 40962-6388 (mailing address contact number: 606-598-1969).

Location: 94 Marie Langdon Dr Ste 6, Manchester, KY, 40962-6388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194744664
Provider Name
Memorial Hospital Inc
Credential
Provider Entity Type
Organization
Address
94 Marie Langdon Dr Ste 6, Manchester, KY, 40962-6388
Phone Number
606-598-1969
Fax Number
606-598-2062
Provider Enumeration Date
07/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000054585 01 KY BLUE CROSS BLUE SHIELD KY
5000038 01 KY UNITED HEALTHCARE
65265 01 KY ANTHEM BLUE CROSS
30523000 01 KY BLACK LUNG
A87696 01 OH MEDICAID OHIO
0005154214 01 KY AETNA
001703971 01 WV BLUE CROSS BLUE SHIELD WV
100033950A 01 IN INDIANA MEDICAID
1004431 01 TN MEDICAID TENNESSEE
100443100 01 KY MEDICAID PENDING
34002808 05 KY
180043 01 KY MEDICARE MANAGED CARE
4200280 05 KY
65265 01 KY MEMORIAL EMPLOYEES
1038912 01 WV BRICK STREET MTL WV WC
100443100 01 KY PASSPOST HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
94 Marie Langdon Dr Ste 6
City
Manchester
State
Kentucky
Zip
40962-6345
Phone Number
606-598-1969
Fax Number
606-598-2062
person
Provider Business Mailing Address Details
Address
94 Marie Langdon Dr Ste 6
City
Manchester
State
Kentucky
Zip
40962-6345
Phone Number
606-598-1969
Fax Number
606-598-2062
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Supports Brokerage
Speciality
-
Taxonomy
251X00000X
License No.
150039 (Kentucky)
Definition
A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
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