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CEDAR LAKE RESIDENCES, INC.
NPI 1447396049
Day Training, Developmentally Disabled Services in Louisville, KY

Active since January 30, 2007
9505 WILLIAMSBURG PLZ, SUITE 200, LOUISVILLE, KY 40222(502) 327-7706(502) 425-3540 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cedar Lake Residences, Inc. NPPES

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

CEDAR LAKE RESIDENCES, INC. (NPI 1447396049) is a healthcare organization registered as a day training, developmentally disabled services in Louisville, Kentucky and active in the NPI registry since January 2007. The organization lists Courtney E Grimes, Program Billing & Reimb Spvsr, as its authorized official.

NPPES Registry Identity

NPI1447396049
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameCEDAR LAKE RESIDENCES, INC.
Location Address9505 WILLIAMSBURG PLZ, SUITE 200Louisville, KY 40222-5082
Mailing Address9505 Williamsburg Plz, Suite 200Louisville, KY 40222-5082 · (502) 327-7706 · Fax (502) 425-3540
Phone(502) 327-7706
Fax(502) 425-3540
Organization SubpartNo
Authorized OfficialCourtney E GrimesProgram Billing & Reimb Spvsr · (502) 265-8389
Enumeration DateJanuary 30, 2007
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
✔ NPI 1447396049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Also ListedCase ManagementTaxonomy 251B00000X · License 100934 (KY)
Also ListedNurse PractitionerTaxonomy 363L00000X
9505 WILLIAMSBURG PLZ, Louisville, KY 40222
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Other Identifiers 1

Medicaid33900572KY

Other Providers at the Same Location NPPES 4

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

MRS. NANCY W BOSLER ARNP
Nurse Practitioner (Adult Health)
9505 WILLIAMSBURG PLZ, SUITE 201
LOUISVILLE, KY 40222
Jefferson County (502) 412-2995
CEDAR LAKE REHABILITATION SERVICES
Clinic/Center (Physical Therapy)
9505 WILLIAMSBURG PLZ, SUITE 200
LOUISVILLE, KY 40222
Jefferson County (502) 327-7706
CEDAR LAKE LODGE/SYCAMORE RUN
Intermediate Care Facility, Intellectual Disabilities
9505 WILLIAMSBURG PLZ, STE 200
LOUISVILLE, KY 40222
Jefferson County (502) 495-4953
DENTAL HEALTH SPECIALISTS OF KENTUCKY
Dentist (Pediatric Dentistry)
9505 WILLIAMSBURG PLZ, SUITE 301
LOUISVILLE, KY 40222
Jefferson County (502) 423-9111

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 Cedar Lake Residences, Inc.'s NPI number?

The NPI number for Cedar Lake Residences, Inc. is 1447396049. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Cedar Lake Residences, Inc. located?

Cedar Lake Residences, Inc. is located at 9505 Williamsburg Plz Suite 200, Louisville, KY 40222. The listed phone number is (502) 327-7706.

What is Cedar Lake Residences, Inc.'s specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Cedar Lake Residences, Inc. was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.