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Cedar Lake Residences, Inc.

Developmentally Disabled Services Day Training Agency in Louisville, KY · enumerated 2007 · authorized official Courtney Grimes, Program Billing & Reimb Spvsr.

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

National Provider Identifier

1447396049

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Registry record

Entity type Organization (Type 2)
Legal business name Cedar Lake Residences, Inc.
Practice address 9505 Williamsburg Plz, Suite 200, Louisville, KY, 40222
Fax (502) 425-3540
Enumeration date Jan 30, 2007
Last updated in NPPES Oct 19, 2020

Taxonomy & classification

251B00000X Case Management Agency Agencies · License 100934 (KY) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
251C00000X Developmentally Disabled Services Day Training Agency Agencies Primary

Authorized official

Name Courtney Grimes
Title Program Billing & Reimb Spvsr

Other identifiers

Identifier Type State Issuer
33900572 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.

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Frequently asked questions

What type of organization is Cedar Lake Residences, Inc.?
Cedar Lake Residences, Inc. is registered in NPPES as a Developmentally Disabled Services Day Training Agency (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-19.