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DEL MARIA
NPI 1043298979
Intermediate Care Facility, Intellectual Disabilities in Louisville, KY

Active since December 30, 2005CLIA 18D1029332 · Waiver
5512 DEL MARIA WAY, LOUISVILLE, KY 40291(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: July 19, 2026.

About Del Maria NPPES

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

DEL MARIA (NPI 1043298979) 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 August 10, 2026 and lists Jennifer Moore, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1043298979
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMONWEALTH OF KENTUCKY
Location Address5512 DEL MARIA WAYLouisville, KY 40291-1810
Mailing Address5512 Delmaria WayLouisville, KY 40291-1810 · (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, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1043298979 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 · 100694
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

5512 DEL MARIA WAY, Louisville, KY 40291
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Other Names 1

Doing Business AsDel Maria

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 18D1029332

Del Maria Icf/Mr · Louisville, KY
Active · expires Aug 10, 2026
CLIA Number18D1029332
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorMs. Robynne Parkerson
Laboratory Phone(502) 499-7203
Laboratory LocationDel Maria Icf/Mr5512 Del Maria Way, Louisville, KY 40291
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1043298979. It was assigned to this organization in the NPPES registry on December 30, 2005. The provider is doing business as Del Maria.

Where is Commonwealth Of Kentucky located?

Commonwealth Of Kentucky is located at 5512 Del Maria Way, Louisville, KY 40291. 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 18D1029332) is associated with this NPI, valid through August 10, 2026. 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 with the weekly NPPES data releases published by CMS.