OrganizationActive
Commonwealth of Kentucky
NPI 1588804546 · Intellectual Disabilities Intermediate Care Facility · Somersetq, KY
Provider details
- NPI number
- 1588804546
- 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
- 100426 (KY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
400 Eastwood Dr
2441 S. Hwy 27
Somersetq, KY 42501
Phone: (606) 677-4068
Fax: (606) 677-4079
Approximate (ZIP-level) locationGet directions
Mailing address
400 Eastwood Dr
Somerset, KY 42501
Other names (DBA / former)
- Doing business as
- Oakwood Icf - Unit 3
Registry dates
- Enumerated
- 2009-03-03
- 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.