OrganizationActive
Commonwealth of Kentucky
NPI 1306824230 · Intellectual Disabilities Intermediate Care Facility · Crestwood, KY
Provider details
- NPI number
- 1306824230
- 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
- License
- 100696 (KY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9001 Park Wood Dr
Crestwood, KY 40014-9499
Phone: (502) 361-2301
Fax: (502) 363-6114
Approximate (ZIP-level) locationGet directions
Mailing address
9001 Park Wood Dr
Crestwood, KY 40014-9499
Other names (DBA / former)
- Doing business as
- Windsong
Registry dates
- Enumerated
- 2005-12-30
- 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.