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LAKE CUMBERLAND REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD INC. NPI 1336172642


NPI Information

NPI: 1336172642
Provider Name: LAKE CUMBERLAND REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD, INC.

Doing Business As: THE ADANTA GROUP

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
130 SOUTHERN SCHOOL RD
SOMERSET, KY
ZIP 42501
Phone: (606) 679-4782
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LAKE CUMBERLAND REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD, INC. is a community behavioral health in Somerset, KY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LAKE CUMBERLAND REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD, INC. NPI is 1336172642. The provider is registered as an organization entity type.
The provider Is Doing Business As The Adanta Group.

The provider's business location address is:

130 SOUTHERN SCHOOL RD
SOMERSET, KY
ZIP 42501-223
Phone: (606) 679-4782
Fax: (606) 678-5296

The provider's authorized official is Jack Lewis .
The authorized official title is Hr Director and has the following contact phone number (606) 679-4782.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 12/26/2013.


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
1251S00000XCommunity/Behavioral Health800019KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15008MEDICARE PINKENTUCKY
25010MEDICARE PINKENTUCKY
30264MEDICARE PINKENTUCKY
45002MEDICARE PINKENTUCKY
55007MEDICARE PINKENTUCKY
60500907MEDICARE PINKENTUCKY
75001MEDICARE PINKENTUCKY
88677MEDICARE PINKENTUCKY
95003MEDICARE PINKENTUCKY
105009MEDICARE PINKENTUCKY
115005MEDICARE PIN
125012MEDICARE PINKENTUCKY
135004MEDICARE PINKENTUCKY
145006MEDICARE PINKENTUCKY
155129MEDICARE PINKENTUCKY
165772MEDICARE PINKENTUCKY
175011MEDICARE PINKENTUCKY

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.