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

NPI Status: Active since February 01, 2007

Contact Information

23524 DAWSON SPRINGS RD
DAWSON SPRINGS, KY
ZIP 42408
Phone: (270) 797-3771
Fax: (270) 797-3592

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 18D0691213
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 08-31-2026

About OUTWOOD ICF

This page provides the complete NPI Profile along with additional information for Outwood Icf, a provider established in Dawson Springs, Kentucky operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1194862599 assigned on February 2007. The practitioner's primary taxonomy code is 315P00000X with license number 100458 (KY). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Outwood Icf. The authorized official of this NPI record is Jennifer Moore (Assistant Director)

NPI
1194862599
Provider Legal Name
COMMONWEALTH OF KENTUCKY
Other Organization Name
OUTWOOD ICF
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
23524 DAWSON SPRINGS RD DAWSON SPRINGS, KY 42408
Location Phone
(270) 797-3771
Location Fax
(270) 797-3592
Mailing Address
9901 LINN STATION RD LOUISVILLE, KY 40223
Mailing Phone
(800) 866-0860
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-01-2007
Last Update Date
08-07-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
100458
License State
KY
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER MOORE

Authorized Official Title
ASSISTANT DIRECTOR
Authorized Official Phone
(502) 782-6117

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
119021111MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0691213
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MS. JENNIFER ELLIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Outwood Icf to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OUTWOOD ICF

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194862599
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211841664518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 6 + 6 + 4 + 5 + 1 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1194862599 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578734695RES-CARE, INC.
Organization
Intermediate Care Facility, Intellectual Disabilities23524 DAWSON SPRINGS RD
DAWSON SPRINGS, KY 42408
(270) 797-3771
1265851760COMMONWEALTH OF KENTUCKY
Organization
Clinic/Center (Multi-Specialty)23524 DAWSON SPRINGS RD
DAWSON SPRINGS, KY 42408
(270) 797-3771

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194862599, enumerated in the NPI registry as an "organization" on February 01, 2007

The provider is located at 23524 Dawson Springs Rd Dawson Springs, Ky 42408 and the phone number is (270) 797-3771

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 18D0691213 for a "intermediate care facility for mentally retarded" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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