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LAKE CUMBERLAND RECOVERY INC NPI 1013553247


NPI Information

NPI: 1013553247
Provider Name: LAKE CUMBERLAND RECOVERY, INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 18D0326777

Address:
8294 S HIGHWAY 27
BURNSIDE, KY
ZIP 42519
Phone: (606) 516-9939
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LAKE CUMBERLAND RECOVERY, INC is a substance abuse rehabilitation facility in Burnside, KY. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LAKE CUMBERLAND RECOVERY, INC NPI is 1013553247. The provider is registered as an organization entity type.

The provider's business location address is:

8294 S HIGHWAY 27
BURNSIDE, KY
ZIP 42519-412
Phone: (606) 516-9939

The provider's authorized official is Mikkle Lee Hampton .
The authorized official title is President and has the following contact phone number (606) 516-9939.

The CLIA number assigned to this NPI record is 18D0326777 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/22/2019 and was last updated on 11/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.