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.
Location: 94 Marie Langdon Dr Ste 6, Manchester, KY, 40962-6388
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
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 |
Provider Business Practice Location Address Details
Address
94 Marie Langdon Dr Ste 6
City
State
Zip
40962-6345
Phone Number
606-598-1969
Fax Number
606-598-2062
Provider Business Mailing Address Details
Address
94 Marie Langdon Dr Ste 6
City
State
Zip
40962-6345
Phone Number
606-598-1969
Fax Number
606-598-2062
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Supports Brokerage
Speciality
-
Taxonomy
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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