OUTWOOD ICF
NPI 1194862599
Intermediate Care Facility, Intellectual Disabilities in Dawson Springs, KY

Active since February 01, 2007CLIA 18D0691213 · Waiver
23524 DAWSON SPRINGS RD, DAWSON SPRINGS, KY 42408(270) 797-3771(270) 797-3592 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Outwood Icf NPPES

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

OUTWOOD ICF (NPI 1194862599) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Dawson Springs, Kentucky and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jennifer Moore, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1194862599
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMONWEALTH OF KENTUCKY
Location Address23524 DAWSON SPRINGS RDDawson Springs, KY 42408-9205
Mailing Address9901 Linn Station RdLouisville, KY 40223-3808 · (800) 866-0860
Fax(270) 797-3592
Organization SubpartYes
Authorized OfficialJennifer MooreAssistant Director · (502) 782-6117
Enumeration DateFebruary 1, 2007
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1194862599 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 · 100458
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
23524 DAWSON SPRINGS RD, Dawson Springs, KY 42408

Other Names 1

Doing Business AsOutwood Icf

Other Identifiers 1

Medicaid119021111KY

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 18D0691213

Outwood Icf Id · Dawson Springs, KY
Active · expires Aug 31, 2026
CLIA Number18D0691213
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Jennifer Ellis
Laboratory Phone(502) 797-3771
Laboratory LocationOutwood Icf Id23524 Dawson Springs Road, Dawson Springs, KY 42408
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Multi-Specialty)
23524 DAWSON SPRINGS RD
DAWSON SPRINGS, KY 42408
Intermediate Care Facility, Intellectual Disabilities
23524 DAWSON SPRINGS RD
DAWSON SPRINGS, KY 42408

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 1194862599. It was assigned to this organization in the NPPES registry on February 1, 2007. The provider is doing business as Outwood Icf.

Where is Commonwealth Of Kentucky located?

Commonwealth Of Kentucky is located at 23524 Dawson Springs Rd, Dawson Springs, KY 42408. The listed phone number is (270) 797-3771.

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 18D0691213) is associated with this NPI, valid through August 31, 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 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.