Cedar Lake Lodge/Sycamore Run
NPI 1790232577 · Intellectual Disabilities Intermediate Care Facility · Louisville, KY
Cedar Lake Lodge/Sycamore Run is a Intellectual Disabilities Intermediate Care Facility organization in Louisville, KY (NPI 1790232577).
Provider details
- NPI number
- 1790232577
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Courtney Grimes, Reimbursement Specialist(502) 495-4953
- License
- 101246 (KY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2022-01-31
- Certified
- 2022-01-31
Frequently asked questions
- What is Cedar Lake Lodge/Sycamore Run's NPI number?
- Cedar Lake Lodge/Sycamore Run's National Provider Identifier (NPI) is 1790232577, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Lake Lodge/Sycamore Run?
- Cedar Lake Lodge/Sycamore Run is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Cedar Lake Lodge/Sycamore Run located?
- Cedar Lake Lodge/Sycamore Run's practice location on file with NPPES is 9505 Williamsburg Plz, Louisville, KY 40222-5082.
- What is Cedar Lake Lodge/Sycamore Run's phone number?
- The practice phone number listed in the NPPES registry for Cedar Lake Lodge/Sycamore Run is (502) 495-4953.
- Who is the authorized official for Cedar Lake Lodge/Sycamore Run?
- The authorized official listed on Cedar Lake Lodge/Sycamore Run's NPPES record is Courtney Grimes, Reimbursement Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Lake Lodge/Sycamore Run's NPI active?
- Yes — Cedar Lake Lodge/Sycamore Run's NPI (1790232577) is active in the NPPES registry as of the last update on 2022-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.