OrganizationActive
Salem Villages Mrdd, Inc.
NPI 1467520635 · Intellectual Disabilities Intermediate Care Facility · Lake City, FL
Provider details
- NPI number
- 1467520635
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Deena Ombres, Privacy Officer(502) 394-2387
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
930 Sw Spring Ln
Lake City, FL 32025-5082
Phone: (352) 372-0130
Street-level locationGet directions
Mailing address
10140 Linn Station Rd
Louisville, KY 40223-3813
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2010-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.