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KENTUCKY RIVER COMMUNITY CARE, INC
NPI 1023299062
Case Manager/Care Coordinator in Hazard, KY

Active since November 19, 2007CLIA 18D2126209 · Waiver
115 ROCKWOOD LN, HAZARD, KY 41701(606) 436-5761(606) 436-5797 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kentucky River Community Care, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTUCKY RIVER COMMUNITY CARE, INC (NPI 1023299062) is a healthcare organization registered as a case manager/care coordinator in Hazard, Kentucky and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Marcia Adams, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023299062
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameKENTUCKY RIVER COMMUNITY CARE, INC
Location Address115 ROCKWOOD LNHazard, KY 41701-9415
Mailing Address115 Rockwood LnHazard, KY 41701-9415 · (606) 436-5761 · Fax (606) 436-5797
Phone(606) 436-5761
Fax(606) 436-5797
Organization SubpartNo
Authorized OfficialMarcia AdamsCfo · (606) 666-4351
Enumeration DateNovember 19, 2007
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1023299062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
115 ROCKWOOD LN, Hazard, KY 41701
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Other Identifiers 1

Medicaid28012011KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2126209

Kentucky River Community Care, Inc · Hazard, KY
Active · expires Feb 21, 2027
CLIA Number18D2126209
Laboratory TypeMental Health Center
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorMr. Artie Bates
Laboratory Phone(606) 436-5761
Laboratory LocationKentucky River Community Care, Inc115 Rockwood Lane, Hazard, KY 41701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA SORRELL
Counselor
115 ROCKWOOD LN
HAZARD, KY 41701
Perry County (606) 436-5761
IMOGENE SIZEMORE
Technician, Other
115 ROCKWOOD LN
HAZARD, KY 41701
Perry County (606) 436-5761
MABLE WETMORE
Registered Nurse
115 ROCKWOOD LN
HAZARD, KY 41701
Perry County (606) 436-5761
VERA WOOTON
Community Health Worker
115 ROCKWOOD LN
HAZARD, KY 41701
Perry County (606) 436-5761
ANNA HERALD
Registered Nurse
115 ROCKWOOD LN
HAZARD, KY 41701
Perry County (606) 436-5761
JESSICA D BOWLING
Technician, Other
115 ROCKWOOD LN
HAZARD, KY 41701
Perry County (606) 436-5761
LEOTA TRUSTY
Peer Specialist
115 ROCKWOOD LN
HAZARD, KY 41701
Perry County (606) 436-5761
MARGARET ANN TRIPLETT
Registered Nurse
115 ROCKWOOD LN
HAZARD, KY 41701
Perry County (606) 436-5761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentucky River Community Care, Inc's NPI number?

The NPI number for Kentucky River Community Care, Inc is 1023299062. It was assigned to this organization in the NPPES registry on November 19, 2007.

Where is Kentucky River Community Care, Inc located?

Kentucky River Community Care, Inc is located at 115 Rockwood Ln, Hazard, KY 41701. The listed phone number is (606) 436-5761.

What is Kentucky River Community Care, Inc's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Does Kentucky River Community Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2126209) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kentucky River Community Care, Inc was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.