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LAKE CUMBERLAND RECOVERY INC
NPI 1033788393
Substance Abuse Rehabilitation Facility in Somerset, KY

Active since June 22, 2021CLIA 18D2184149 · Waiver
202 N MAIN ST, SOMERSET, KY 42501(606) 341-1160 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Cumberland Recovery Inc NPPES

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

LAKE CUMBERLAND RECOVERY INC (NPI 1033788393) is a healthcare organization registered as a substance abuse rehabilitation facility in Somerset, Kentucky and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Mikkle Lee Hampton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033788393
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLAKE CUMBERLAND RECOVERY INC
Location Address202 N MAIN STSomerset, KY 42501-1405
Mailing AddressPo Box 305Burnside, KY 42519-0305 · (606) 618-9966
Phone(606) 341-1160
Organization SubpartNo
Authorized OfficialMikkle Lee HamptonCeo · (606) 516-9939
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1033788393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
202 N MAIN ST, Somerset, KY 42501
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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 18D2184149

Lake Cumberland Recovery Inc · Burnside, KY
Active · expires May 14, 2028
CLIA Number18D2184149
Laboratory TypeResidential Treatment Ctr
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorDr. Cory Ryan
Laboratory Phone(606) 341-1160
Laboratory LocationLake Cumberland Recovery Inc8294 South Hwy 27, Burnside, KY 42519
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SOMERVIEW PERSONAL CARE HOME, INC
Custodial Care Facility (Adult Care Home)
202 N MAIN ST
SOMERSET, KY 42501
Pulaski County (606) 678-0440

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 Lake Cumberland Recovery Inc's NPI number?

The NPI number for Lake Cumberland Recovery Inc is 1033788393. It was assigned to this organization in the NPPES registry on June 22, 2021.

Where is Lake Cumberland Recovery Inc located?

Lake Cumberland Recovery Inc is located at 202 N Main St, Somerset, KY 42501. The listed phone number is (606) 341-1160.

What is Lake Cumberland Recovery Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Lake Cumberland Recovery Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2184149) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Cumberland Recovery Inc was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.