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

Commonwealth of Kentucky

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1043298979

Commonwealth of Kentucky is an Intellectual Disabilities Intermediate Care Facility in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005

Practice location Address checks out

5512 Del Maria Way
Louisville, KY 40291-1810
Phone: (502) 361-2301
Fax: (502) 363-6114
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 100694 (KY)

Record details

NPI number1043298979
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommonwealth of Kentucky
Authorized official Jennifer Moore — Assistant Director · (502) 782-6117
Other names Del Maria
NPI enumeratedDecember 30, 2005
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address5512 Delmaria Way, Louisville, KY 40291-1810

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