Commonwealth of Kentucky
NPI 1043298979ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Louisville, KY
Intermediate Care Facility, Intellectual Disabilities in Louisville, Kentucky, registered in NPPES in December 2005, part of Commonwealth of Kentucky. The authorized official on file is Jennifer Moore, Assistant Director.
Overview
| NPI | 1043298979 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Commonwealth of Kentucky |
| NPI issued | Dec 30, 2005 |
| Last updated in NPPES | Aug 7, 2024 |
| Certified by provider | Aug 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 100694 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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