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 1689652513

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

Licensed in
KY
In the registry since
2005

Practice location Address checks out

210 Meadows Dr
Mt Washington, KY 40047-6013
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 100695 (KY)

Record details

NPI number1689652513
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommonwealth of Kentucky
Authorized official Jennifer Moore — Assistant Director · (502) 782-6117
Other names Meadows
NPI enumeratedDecember 30, 2005
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address210 Meadows Dr, Mt Washington, KY 40047-6013