Provider Demographics
NPI:1326298431
Name:CASCADES OF THE BLUEGRASS
Entity Type:Organization
Organization Name:CASCADES OF THE BLUEGRASS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ORWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-277-3558
Mailing Address - Street 1:500 HORTON CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-1075
Mailing Address - Country:US
Mailing Address - Phone:859-277-3558
Mailing Address - Fax:
Practice Address - Street 1:500 HORTON CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-1075
Practice Address - Country:US
Practice Address - Phone:859-277-3558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management