Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cedar Lake Residences, Inc

Organization Case Management Agency · NPI 1447396049

Cedar Lake Residences, Inc is a Case Management Agency in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9505 Williamsburg Plz Ste 200
Louisville, KY 40222-5082
Phone: (502) 327-7706
Fax: (502) 425-3540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X
Case Management Agency Taxonomy 251B00000X · Licence 100934 (KY)
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1447396049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Grimes — Program Billing & Reimb Spvsr · (502) 265-8389
NPI enumeratedJanuary 30, 2007
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing address9505 Williamsburg Plz, Suite 200, Louisville, KY 40222-5082

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