CEDAR LAKE RESIDENCES, INC. (NPI# 1447396049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447396049 |
| Entity Type | Organization |
| Organization Name | CEDAR LAKE RESIDENCES, INC. |
| Practice Address |
9505 Williamsburg Plz Suite 200 Louisville KY 40222-5082 |
| Practice Telephone | 5023277706 |
| Practice Fax Number | 5024253540 |
| Mailing Telephone | 5023277706 |
| Mailing Fax Number | 5024253540 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | COURTNEY E GRIMES (PROGRAM BILLING & REIMB SPVSR) |
| Authorized Official Telephone | 5022658389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 100934 | KY | Agencies |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 33900572 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396947461 | Cedar Lake Residences, Inc. | Day Training, Developmentally Disabled Services | 7984 New Lagrange Rd, Louisville, KY 40222-4718 | 2007-06-01 |
| Street Address |
9505 WILLIAMSBURG PLZ SUITE 200 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222-5082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689629701 | Nancy W Bosler | Nurse Practitioner | 9505 Williamsburg Plz, Suite 201, Louisville, KY 40222-5082 | 2006-05-24 |
| 1790232577 | Cedar Lake Lodge/sycamore Run | Intermediate Care Facility, Mental Illness | 9505 Williamsburg Plz, Ste 200, Louisville, KY 40222-5082 | 2016-09-08 |
| 1790165561 | Cedar Lake Rehabilitation Services | Clinic/Center | 9505 Williamsburg Plz, Suite 200, Louisville, KY 40222-5082 | 2015-06-05 |
| 1851450407 | Dental Health Specialists of Kentucky | Dentist | 9505 Williamsburg Plz, Suite 301, Louisville, KY 40222-5082 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424144 | Dungarvin Kentucky, LLC - Louisville | Day Training, Developmentally Disabled Services | 901 Lily Creek Rd Ste 202, Louisville, KY 40243-2821 | 2020-07-15 |
| 1184245730 | Blu Well of Kentucky LLC | Day Training, Developmentally Disabled Services | 9408 Jo Ct, Louisville, KY 40299-1192 | 2020-05-05 |
| 1710532031 | Reliance of Kentucky LLC | Day Training, Developmentally Disabled Services | 3603 Lenoir Ave, Louisville, KY 40216-1134 | 2019-08-04 |
| 1720647142 | Caring Hands of Kentucky Adult Day and Neurorehab | Day Training, Developmentally Disabled Services | 800 Envoy Cir Ste 101, Louisville, KY 40299-2891 | 2019-06-10 |
| 1881117166 | The Degondaba School, Inc. | Day Training, Developmentally Disabled Services | 5110 Stony Brook Drive, Louisville, KY 40291 | 2017-07-19 |
| 1871836486 | Help At Home, Kentuckey | Day Training, Developmentally Disabled Services | 13277 Obannon Station Way, Louisville, KY 40223-4188 | 2013-04-02 |
| 1881980670 | Guardian Community Living Louisville, LLC | Day Training, Developmentally Disabled Services | 5001 Crown Manor Pl, Suite 200, Louisville, KY 40218-3196 | 2011-06-21 |
| 1215226188 | Quality Care Scl,llc | Day Training, Developmentally Disabled Services | 1033 Hathaway Ave, Louisville, KY 40215-2709 | 2011-03-31 |
| 1588962328 | Guardian Community Living - Kentucky | Day Training, Developmentally Disabled Services | 10503 Timberwood Cir Ste 100, Louisville, KY 40223-5318 | 2011-03-02 |
| 1861650467 | Community Employment | Day Training, Developmentally Disabled Services | 1974 Douglass Blvd, Louisville, KY 40205-1826 | 2008-05-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40222 |
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| 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.