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 1194862599

Commonwealth of Kentucky is an Intellectual Disabilities Intermediate Care Facility in Dawson Springs, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007

Practice location Address checks out

23524 Dawson Springs Rd
Dawson Springs, KY 42408-9205
Phone: (270) 797-3771
Fax: (270) 797-3592
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 100458 (KY)

Record details

NPI number1194862599
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommonwealth of Kentucky
Authorized official Jennifer Moore — Assistant Director · (502) 782-6117
Other names Outwood Icf
NPI enumeratedFebruary 1, 2007
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address9901 Linn Station Rd, Louisville, KY 40223-3808

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