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

Commonwealth of Kentucky

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

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

National Provider Identifier

1689652513

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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 210 Meadows Dr, Mt Washington, KY, 40047
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 100695 (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.

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Frequently asked questions

Who is the authorized official for Commonwealth of Kentucky?
NPPES lists Jennifer Moore (Assistant Director) as the authorized official for this organization.
What is the NPI number for Commonwealth of Kentucky?
The NPI for Commonwealth of Kentucky is 1689652513, a Type 2 (organization) record in the CMS NPPES registry.

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