Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Commonwealth of Kentucky

Intellectual Disabilities Intermediate Care Facility in Crestwood, KY · enumerated 2005 · authorized official Jennifer Moore, Assistant Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306824230

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Commonwealth of Kentucky

Other name <Unavail>

Parent organization Commonwealth of Kentucky

Practice address 9001 Park Wood Dr, Crestwood, KY, 40014

Phone (502) 361-2301

Fax (502) 363-6114

Enumeration date Dec 30, 2005

Last updated in NPPES Aug 7, 2024

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 100696 (KY) Primary

Authorized official

Name Jennifer Moore

Title Assistant Director

Phone (502) 782-6117

Other identifiers

Identifier	Type	State	Issuer
11933157	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Commonwealth of Kentucky located?

The practice location on file with NPPES is in Crestwood, KY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-07.