Cedar Lake Lodge, Inc. in Louisville - Respite Care, Intellectual And/or Developmental Disabilities
Cedar Lake Lodge, Inc. - NPI 1568508190
Cedar Lake Lodge, Inc. is a Respite Care, Intellectual And/or Developmental Disabilities in Louisville, Kentucky. Cedar Lake Lodge, Inc. practices all healthcare services and medical treatments related to Respite Care, Intellectual And/or Developmental Disabilities. The NPI Number for Cedar Lake Lodge, Inc. is 1568508190. The last update date is 2020-12-21.
Cedar Lake Lodge, Inc.'s current location address is 9505 Williamsburg Plz Ste 200, Louisville, Kentucky. You can contact this provider via phone number 5022658389 and fax number 5024253540. The mailing address for Cedar Lake Lodge, Inc. is 9505 Williamsburg Plz Ste 200, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cedar Lake Lodge, Inc. |
|---|---|
| Address | 9505 Williamsburg Plz Ste 200, Louisville, Kentucky |
| Phone Number | 5022658389 |
| Fax Number | 5024253540 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM BI |
|---|---|
| Authorized Official Name | Grimes E Courtney |
| Credentials | CPB |
| Telephone Number | 252658389. |
NPI Number Detail
| NPI Number | 1568508190 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-12-21 |
Provider Mailing Address Detail
| Address | 9505 Williamsburg Plz Ste 200 |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402225089 |
| Phone Number | 5022658389 |
| Fax Number | 5024253540 |
Provider's Primary Taxonomy Detail
| Speciality | Respite Care, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 385Hr2060X |
|
Definition: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43000512 | KY | -- | |
| 11906153 | KY | -- | |
| 33200353 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Cedar Lake Lodge, Inc. by the Centers for Medicare & Medicaid Services?
The Cedar Lake Lodge, Inc. has been issued the NPI (National Provider Identifier) 1568508190 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Cedar Lake Lodge, Inc. is physically located?
The Cedar Lake Lodge, Inc. is situated at the following address: 9505 Williamsburg Plz Ste 200, Louisville, KY 402225089.
What is the Cedar Lake Lodge, Inc.'s specialty and taxonomy code?
The Cedar Lake Lodge, Inc.'s specialty is Respite Care, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 385Hr2060X.
On what date did Cedar Lake Lodge, Inc. receive its 1568508190 assignment from the Centers for Medicare & Medicaid Services?
The Cedar Lake Lodge, Inc. was assigned its 1568508190 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Cedar Lake Lodge, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cedar Lake Lodge, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-12-21.