ROARING BROOK LLC NPI 1053934836

NPI Information

NPI: 1053934836
Provider Name: ROARING BROOK LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 18D2188156

Address:
600 PERIMETER DR STE 125
LEXINGTON, KY
ZIP 40517
Phone: (928) 930-9476
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ROARING BROOK LLC is a rehabilitation and substance use disorder clinic center in Lexington, KY. ROARING BROOK LLC NPI is 1053934836. The provider is registered as an organization entity type.

The provider's business location address is:

600 PERIMETER DR STE 125
LEXINGTON, KY
ZIP 40517-296
Phone: (928) 930-9476

The provider's authorized official is John A Sanders .
The authorized official title is Medical Doctor and has the following contact phone number (928) 830-9476.

The CLIA number assigned to this NPI record is 18D2188156 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2020 and was last updated on 6/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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

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