COMMONWEALTH OF KENTUCKY NPI 1730329897

NPI Information

NPI: 1730329897
Provider Name: COMMONWEALTH OF KENTUCKY

Doing Business As: OAKWOOD ICF - UNIT 4

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
400 EASTWOOD
2441 S. HWY 27
SOMERSET, KY
ZIP 42501
Phone: (606) 677-4068
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COMMONWEALTH OF KENTUCKY is an intermediate care facility mentally retarded in Somerset, KY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMMONWEALTH OF KENTUCKY NPI is 1730329897. The provider is registered as an organization entity type.
The provider Is Doing Business As Oakwood Icf - Unit 4.

The provider's business location address is:

400 EASTWOOD
2441 S. HWY 27
SOMERSET, KY
ZIP 42501
Phone: (606) 677-4068
Fax: (606) 677-4079

The provider's authorized official is Wendy Morris .
The authorized official title is Deputy Commissioner and has the following contact phone number (502) 564-4527.

The enumeration date for this NPI number is 3/3/2009 and was last updated on 5/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		100426	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11900024	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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