OrganizationActive
Commonwealth of Kentucky
NPI 1083785125 · Intellectual Disabilities Intermediate Care Facility · Louisville, KY
Provider details
- NPI number
- 1083785125
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Commonwealth of Kentucky
- Organization subpart
- Yes
- Authorized official
- Jennifer Moore, Assistant Director(502) 782-6117
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4401-4505 Louise Underwood Way
Louisville, KY 40216
Phone: (502) 363-6421
Fax: (502) 363-2215
Approximate (ZIP-level) locationGet directions
Mailing address
4401-4505 Louise Underwood Way
Louisville, KY 40216
Other names (DBA / former)
- Doing business as
- Bingham Gardens Icf
Registry dates
- Enumerated
- 2006-11-12
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.