1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

HAZELWOOD CENTER
NPI 1033197967
Intermediate Care Facility, Intellectual Disabilities in Louisville, KY

Active since December 30, 2005CLIA 18D0648454 · Waiver
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215(502) 361-2301(502) 363-6114 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 7, 2024, Jun 28, 2024 (2 updates tracked since 2024).

About Hazelwood Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZELWOOD CENTER (NPI 1033197967) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Louisville, Kentucky and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Jennifer Moore, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1033197967
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMONWEALTH OF KENTUCKY
Location Address1800 BLUEGRASS AVELouisville, KY 40215-1130
Mailing Address1800 Bluegrass AveLouisville, KY 40215-1130 · (502) 361-2301 · Fax (502) 363-6114
Phone(502) 361-2301
Fax(502) 363-6114
Organization SubpartYes
Authorized OfficialJennifer MooreAssistant Director · (502) 782-6117
Enumeration DateDecember 30, 2005
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1033197967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in KY · 100211
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1800 BLUEGRASS AVE, Louisville, KY 40215
Open in Google Maps ↗

Other Names 1

Doing Business AsHazelwood Center

Other Identifiers 1

Medicaid11906070KY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0648454

Hazelwood Center · Louisville, KY
Active · expires May 14, 2027
CLIA Number18D0648454
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorDr. Sheila M. Kemper
Laboratory Phone(502) 361-2301
Laboratory LocationHazelwood Center1800 Old Bluegrass Ave, Louisville, KY 40215
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WARREN EUGENE MILTEER SR. M.D.
Internal Medicine
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
MS. ASHLEY NICOLE HILL M.S.,CCC/SLP
Speech-Language Pathologist
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
BRITTANY ROBY PT, DPT
Physical Therapist
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
VANESSA ROGERS BSDH
Dental Hygienist
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
COMMONWEALTH OF KENTUCKY
Clinic/Center (Multi-Specialty)
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
DR. ERIC SCOTT ROGERS PH.D.
Psychologist (Clinical)
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
DR. ETHAN COLE ADAMS DPT, PT
Physical Therapist
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301
PAUL CLARK PT, DPT
Physical Therapist
1800 BLUEGRASS AVE
LOUISVILLE, KY 40215
Jefferson County (502) 361-2301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Of Kentucky's NPI number?

The NPI number for Commonwealth Of Kentucky is 1033197967. It was assigned to this organization in the NPPES registry on December 30, 2005. The provider is doing business as Hazelwood Center.

Where is Commonwealth Of Kentucky located?

Commonwealth Of Kentucky is located at 1800 Bluegrass Ave, Louisville, KY 40215. The listed phone number is (502) 361-2301.

What is Commonwealth Of Kentucky's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Commonwealth Of Kentucky hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0648454) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Commonwealth Of Kentucky was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.