OrganizationActive
Commonwealth of Kentucky
NPI 1689652513 · Intellectual Disabilities Intermediate Care Facility · Mt Washington, KY
Provider details
- NPI number
- 1689652513
- 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
- 100695 (KY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
210 Meadows Dr
Mt Washington, KY 40047-6013
Phone: (502) 361-2301
Fax: (502) 363-6114
Approximate (ZIP-level) locationGet directions
Mailing address
210 Meadows Dr
Mt Washington, KY 40047-6013
Other names (DBA / former)
- Doing business as
- Meadows
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.