Organization
Cedar Lake Lodge, Inc.
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 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Intermediate Care Facility, Intellectual Disabilities
Nursing & Custodial Care Facilities
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 310500000XNursing 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 313M00000XCommunity 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 320900000XRespite 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
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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