COMMONWEALTH OF KENTUCKY


Address: 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205
Phone: 2707973771

COMMONWEALTH OF KENTUCKY (NPI# 1194862599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194862599
Entity Type Organization
Organization Name COMMONWEALTH OF KENTUCKY
Other Organization Name OUTWOOD ICF
Practice Address 23524 Dawson Springs Rd
Dawson Springs
KY 42408-9205
Mailing Address 9901 Linn Station Rd
Louisville
KY 40223-3808
Practice Telephone 2707973771
Practice Fax Number 2707973592
Mailing Telephone 8008660860
Enumeration Date 2007-02-01
Last Update Date 2014-05-06
Authorized Official Name WENDY MORRIS (DEPUTY COMMISSIONER)
Authorized Official Telephone 5025644527
Is Organization Subpart Y
Parent Organization Name COMMONWEALTH OF KENTUCKY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 100458 KY Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY 119021111 05

Other Provider/Organization Names

Other Name Type Code
Outwood ICF Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043686900 Commonwealth of Kentucky Skilled Nursing Facility 100 Veterans Drive, Radcliff, KY 40160 2015-08-14
1245657857 Commonwealth of Kentucky Clinic/Center 2441 Us Highway 27, Somerset, KY 42501 2014-03-20
1730329897 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 400 Eastwood, 2441 S. Hwy 27, Somerset, KY 42501 2009-03-03
1588804546 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 400 Eastwood Dr, 2441 S. Hwy 27, Somersetq, KY 42501 2009-03-03
1770762833 Commonwealth of Kentucky Residential Treatment Facility, Physical Disabilities 5659 Main St, Thelma, KY 41260-8609 2007-10-25
1396962551 Commonwealth of Kentucky Nursing Facility/Intermediate Care Facility 200 Veterans Dr, Hazard, KY 41701-9484 2007-04-19
1124144456 Commonwealth of Kentucky Pharmacy 2400 Russellville Road, Hopkinsville, KY 42240 2007-03-21
1083785125 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 4401-4505 Louise Underwood Way, Louisville, KY 40216 2006-11-12
1689652513 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 210 Meadows Dr, Mt Washington, KY 40047-6013 2005-12-30
1306824230 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 9001 Park Wood Dr, Crestwood, KY 40014-9499 2005-12-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities COMMONWEALTH OF KENTUCKY - DEPARTMENT FOR LOCAL GOVERNMENT 1024 Capital Center Dr Ste 340, Frankfort, KY 40601-7514

Office Location

Street Address 23524 DAWSON SPRINGS RD
City DAWSON SPRINGS
State KY
Zip Code 42408-9205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265851760 Commonwealth of Kentucky Clinic/Center 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 2014-04-11
1578734695 Res-care, Inc. Intermediate Care Facility, Mentally Retarded 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 2008-03-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659381143 Jeffrey Layne Winfrey Dentist 115 West Munn Street, Dawson Springs, KY 42408 2006-08-08
1750315784 Family Drugs Pharmacy 104 Railroad Ave, Dawson Springs, KY 42408 2006-07-10
1255445649 John Elliott Ausenbaugh Jr. Pharmacist 104 Railroad Ave, Dawson Springs, KY 42408 2006-08-19
1528256195 Hopkins County Health Department Public Health or Welfare 317 Eli St, Dawson Springs, KY 42408-1607 2007-10-09
1154929149 Dawson Springs Independent Schools Board of Education Local Education Agency (LEA) 317 Eli St, Dawson Springs, KY 42408-1607 2020-10-13
1740329267 Stephen Lee Agent Dentist 308 E Arcadia Ave, Dawson Springs, KY 42408-1636 2007-02-05
1700896792 James F Britt Chiropractor 320 E Arcadia Ave, Dawson Springs, KY 42408-1636 2006-08-09
1518426642 Hopkins County Health Department Public Health or Welfare 308 E Arcadia Ave, Dawson Springs, KY 42408-1636 2019-03-18
1467622993 James Eric Britt Chiropractor 320 E Arcadia Ave, Dawson Springs, KY 42408-1636 2008-03-12
1750570560 James F Britt, Psc Chiropractor 320 E Arcadia Ave, Dawson Springs, KY 42408-1636 2007-10-17
Find all providers in zip 42408

Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578734695 Res-care, Inc. Intermediate Care Facility, Mentally Retarded 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 2008-03-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730329897 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 400 Eastwood, 2441 S. Hwy 27, Somerset, KY 42501 2009-03-03
1588804546 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 400 Eastwood Dr, 2441 S. Hwy 27, Somersetq, KY 42501 2009-03-03
1083885123 Rescare, Inc. Intermediate Care Facility, Mentally Retarded 567 Hwy 141 N, Morganfield, KY 42437-7057 2008-03-17
1306017439 The Academy for Individual Excellence, Inc. Intermediate Care Facility, Mentally Retarded 3101 Bluebird Ln, Louisville, KY 40299-3803 2008-03-17
1336310465 Alternative Youth Services, Inc. Intermediate Care Facility, Mentally Retarded 195 E Lincoln Trail Blvd, Radcliff, KY 40160-1253 2008-03-17
1083785125 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 4401-4505 Louise Underwood Way, Louisville, KY 40216 2006-11-12
1689652513 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 210 Meadows Dr, Mt Washington, KY 40047-6013 2005-12-30
1306824230 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 9001 Park Wood Dr, Crestwood, KY 40014-9499 2005-12-30
1043298979 Commonwealth of Kentucky Intermediate Care Facility, Mentally Retarded 5512 Del Maria Way, Louisville, KY 40291-1810 2005-12-30
1316241961 Southern Home Care Services, Inc. Intermediate Care Facility, Mentally Retarded 9901 Linn Station Rd, Louisville, KY 40223-3808 2010-12-22
Find all providers with the same taxonomy

Competitor

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City DAWSON SPRINGS
Zip Code 42408

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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