Cedar Lake Lodge, Inc
Cedar Lake Lodge, Inc is a Mental Illness Intermediate Care Facility in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.
- Licensed in
- KY
- In the registry since
- 2007
- Specialties on file
- 6
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9505 Williamsburg Plz Ste 200Louisville, KY 40222-5089
Phone: (502) 265-8389
Fax: (502) 425-3540
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 100450 (KY) |
|---|---|
| Mental Illness Intermediate Care Facility | Taxonomy 310500000X · Licence 101120 (KY) |
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X · Licence 101119 (KY) |
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X |
Record details
| NPI number | 1568508190 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Courtney Grimes — Program Billing & Reimb Supervisor · (025) 265-8389 |
| NPI enumerated | January 30, 2007 |
| Last updated in NPPES | December 21, 2020 |
| Certification date | December 21, 2020 |
| Mailing address | 9505 Williamsburg Plz Ste 200, Louisville, KY 40222-5089 |
Other providers in Louisville
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Cedar Lake Lodge/Sycamore Run
9505 Williamsburg Plz Ste 200, Louisville, KY 40222-5082 · (502) 495-4953
-
New Mercy Homes
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