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Organization

Cedar Lake Lodge, Inc.

NPI Record: ActiveIntermediate Care Facility, Intellectual Disabilities
NPI1568508190
Louisville, Kentucky

Provider's NPPES record last updated: December 21, 2020

Overview

Entity Type
Organization
NPI
1568508190
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Practice Location
Louisville, Kentucky
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 3:01 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Intermediate Care Facility, Intellectual Disabilities

    Nursing & Custodial Care Facilities

    Primary

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

    Taxonomy code 315P00000X
  • Intermediate Care Facility, Mental Illness

    Nursing & Custodial Care Facilities

    A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

    Taxonomy code 310500000X
  • Nursing Facility/Intermediate Care Facility

    Nursing & Custodial Care Facilities

    An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

    Taxonomy code 313M00000X
  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

    Residential Treatment Facilities

    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

    Taxonomy code 320900000X
  • Respite Care

    Respite Care, Intellectual and/or Developmental Disabilities, Child

    Respite Care Facility

    A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

    Taxonomy code 385HR2060X

Provider-Reported License Information

Intermediate Care Facility, Intellectual Disabilities (Kentucky)
100450
Intermediate Care Facility, Mental Illness (Kentucky)
101120
Nursing Facility/Intermediate Care Facility (Kentucky)
101119
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

9505 Williamsburg Plz Ste 200

Louisville, Kentucky 40222-5089

Phone: (502) 265-8389

Record Information

Enumeration Date
January 30, 2007
Provider's NPPES Record Last Updated
December 21, 2020
Certification Date
December 21, 2020
NPISignal NPPES Dataset
August 2026

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