ADDICTION RECOVERY CARE LLC (NPI# 1063074201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063074201 |
| Entity Type | Organization |
| Organization Name | ADDICTION RECOVERY CARE LLC |
| Practice Address |
125 Jordans Way Somerset KY 42501-3166 |
| Mailing Address |
Po Box 726 Louisa KY 41230-0726 |
| Practice Telephone | 6066380938 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | TIMMY ROBINSON (CEO) |
| Authorized Official Telephone | 6066380938 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | AODE | 810424 | 01 |
| Other Name | Type Code |
|---|---|
| Lake Hills Oasis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477192607 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 2221 Central Ave, Ashland, KY 41101-7841 | 2020-01-06 |
| 1811533599 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 105-107 E Madison St., Louisa, KY 41230 | 2019-11-18 |
| 1013569755 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 502 N Lackey Ave, Louisa, KY 41230-1206 | 2019-07-12 |
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1780236570 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 1640 Jerushia Branch Rd., Booneville, KY 41230 | 2019-07-11 |
| 1811559057 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 13715 Highway 421 S, Tyner, KY 40486-8377 | 2019-07-08 |
| 1700438751 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 330 Roland Ave, Owenton, KY 40359-1502 | 2019-07-10 |
| 1447812680 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 758 Stockton Rd, Wallingford, KY 41093-8650 | 2019-07-08 |
| 1699337832 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 2206 Walnut St, Catlettsburg, KY 41129-1247 | 2019-07-08 |
| 1245894278 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 8015 Millard Hwy, Pikeville, KY 41501-8106 | 2019-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ADDICTION RECOVERY CARE LLC | 125 S Main Cross St Ste 202, Louisa, KY 41230-1065 |
| Street Address |
125 JORDANS WAY |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730585357 | Lawerence Colyer | Counselor | 125 Jordans Way, Somerset, KY 42501-3166 | 2014-11-10 |
| 1225486285 | Shawn Allen | Peer Specialist | 125 Jordans Way, Somerset, KY 42501-3166 | 2016-06-01 |
| 1194171686 | Christopher Lewell Brown | Peer Specialist | 125 Jordans Way, Somerset, KY 42501-3166 | 2016-05-13 |
| 1942655329 | Jason Emerson | Peer Specialist | 125 Jordans Way, Somerset, KY 42501-3166 | 2016-05-04 |
| 1386099141 | Genie Sidwell | Peer Specialist | 125 Jordans Way, Somerset, KY 42501-3166 | 2016-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235458472 | Twin Lakes Center, Inc. | Substance Abuse Rehabilitation Facility | 224 Twin Lake Rd, Somerset, PA 15501-7727 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392841 | Westcare Kentucky Inc | Substance Abuse Rehabilitation Facility | 5971 Poor Bottom Road, Elkhorn City, KY 41522 | 2020-10-02 |
| 1750996971 | Robert Alexander Center, LLC | Substance Abuse Rehabilitation Facility | 130 Hope St, Mt Washington, KY 40047 | 2020-09-14 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1962037010 | New Horizons LLC | Substance Abuse Rehabilitation Facility | 308 W Dixie Ave, Elizabethtown, KY 42701-1700 | 2020-03-10 |
| 1164054284 | Neartown Inc | Substance Abuse Rehabilitation Facility | 1250 Old Soldier Creek Rd, Kirksey, KY 42054-9117 | 2020-02-06 |
| 1174153514 | Redemption Road Recovery | Substance Abuse Rehabilitation Facility | 4222 Highway 830, Gray, KY 40734-4511 | 2020-01-24 |
| 1477192607 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 2221 Central Ave, Ashland, KY 41101-7841 | 2020-01-06 |
| 1811533599 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 105-107 E Madison St., Louisa, KY 41230 | 2019-11-18 |
| 1386287837 | Kentucky Christian Recovery, LLC | Substance Abuse Rehabilitation Facility | 263 Huntsville Quality Rd Ste A, Morgantown, KY 42261-7395 | 2019-10-28 |
| 1013569755 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 502 N Lackey Ave, Louisa, KY 41230-1206 | 2019-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.