1568508190 CEDAR LAKE LODGE, INC.
Intellectual Disabilities Intermediate Care Facility
Active
Basic Information
- Organization Name
- CEDAR LAKE LODGE, INC.
- Enumeration Date
- January 30, 2007
- Last Update
- December 21, 2020
- Authorized Official
- COURTNEY E GRIMES CPB
PROGRAM BILLING & REIMB SUPERVISOR
Phone: (025) 265-8389
Practice Location
- Address
- 9505 WILLIAMSBURG PLZ STE 200
LOUISVILLE, KY 402225089 - Phone
- (502) 265-8389
- Fax
- (502) 425-3540
Mailing Address
- Address
- 9505 WILLIAMSBURG PLZ STE 200
LOUISVILLE, KY 402225089 - Phone
- (502) 265-8389
- Fax
- (502) 425-3540
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | Intermediate Care Facility, Mental Illness | 101120 | KY | No |
| Nursing Facility/Intermediate Care Facility | 313M00000X | Nursing Facility/Intermediate Care Facility | 101119 | KY | No |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Child Intellectual and/or Developmental Disabilities Respite Care Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | Respite Care | N/A | N/A | No |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 100450 | KY | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43000512 | 05 | KY | N/A |
| 11906153 | 05 | KY | N/A |
| 33200353 | 05 | KY | N/A |
Digital Endpoints
OTHERS Use: OTHER
Louisville
Frequently Asked Questions
What is CEDAR LAKE LODGE, INC.'s NPI number?
CEDAR LAKE LODGE, INC.'s NPI number is 1568508190.
Which doctor has NPI number 1568508190?
The doctor with NPI number 1568508190 is CEDAR LAKE LODGE, INC..
What is CEDAR LAKE LODGE, INC.'s practice address?
CEDAR LAKE LODGE, INC.'s practice address is 9505 WILLIAMSBURG PLZ STE 200, LOUISVILLE, KY, 402225089.
Which doctor practices at 9505 WILLIAMSBURG PLZ STE 200, LOUISVILLE, KY, 402225089?
CEDAR LAKE LODGE, INC. practices at 9505 WILLIAMSBURG PLZ STE 200, LOUISVILLE, KY, 402225089.
What is CEDAR LAKE LODGE, INC.'s phone number?
CEDAR LAKE LODGE, INC.'s phone number is (502) 265-8389.
Who is (502) 265-8389?
(502) 265-8389 is the phone number for CEDAR LAKE LODGE, INC..
What is CEDAR LAKE LODGE, INC.'s specialty?
CEDAR LAKE LODGE, INC.'s specialty is Intellectual Disabilities Intermediate Care Facility.
What type of doctor is CEDAR LAKE LODGE, INC.?
CEDAR LAKE LODGE, INC. is a Intellectual Disabilities Intermediate Care Facility.
Is CEDAR LAKE LODGE, INC. a Intermediate Care Facility, Intellectual Disabilities?
Yes, CEDAR LAKE LODGE, INC. is a Intermediate Care Facility, Intellectual Disabilities.
Is CEDAR LAKE LODGE, INC. still practicing?
Yes, CEDAR LAKE LODGE, INC. is currently practicing.
Is CEDAR LAKE LODGE, INC. accepting new patients?
CEDAR LAKE LODGE, INC. may be accepting new patients. Please call their office at (502) 265-8389 to inquire about availability.
Is NPI 1568508190 still active?
Yes, NPI 1568508190 is currently active.
Where does CEDAR LAKE LODGE, INC. practice?
CEDAR LAKE LODGE, INC. practices in LOUISVILLE, KY.