Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WELLNESS RANCH LLC
NPI 1114880069
Clinic/Center - Rehabilitation, Substance Use Disorder in Franklin, KY

Q: What is Wellness Ranch LLC's NPI number?

The NPI number for Wellness Ranch LLC is 1114880069. It was assigned to this organization in the NPPES registry on December 8, 2025.

Q: What is Wellness Ranch LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since December 08, 2025CLIA 18D2335508 · Waiver

2015 STONEY POINT ROAD, FRANKLIN, KY 42134(978) 440-3200(323) 529-8134 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Wellness Ranch Llc NPPES

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

WELLNESS RANCH LLC (NPI 1114880069) is a healthcare organization registered as a rehabilitation, substance use disorder in Franklin, Kentucky and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Nicholas Petrillo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114880069

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameWELLNESS RANCH LLC

Location Address2015 STONEY POINT ROADFranklin, KY 42134-6726

Mailing Address5201 Congress Ave Ste 275Boca Raton, FL 33487-3609 · Fax (978) 440-3200

Phone(978) 440-3200

Fax(323) 529-8134

Organization SubpartNo

Authorized OfficialNicholas PetrilloCeo · (978) 440-3200

Enumeration DateDecember 8, 2025

Last NPPES UpdateJuly 27, 2026

NPPES CertifiedJuly 27, 2026

✔ NPI 1114880069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

2015 STONEY POINT ROAD, Franklin, KY 42134

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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 18D2335508

Wellness Ranch, LLC · Franklin, KY

Active · expires Dec 11, 2027

CLIA Number18D2335508

Laboratory TypeSud Detox / Residential

Certificate Effective DateDecember 12, 2025

Certificate Expiration DateDecember 11, 2027

Laboratory DirectorMr. Nicholas A. Petrillo

Laboratory Phone(516) 419-0638

Laboratory LocationWellness Ranch, LLC2015 Stoney Point Rd, Franklin, KY 42134

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Wellness Ranch LLC's NPI number?

The NPI number for Wellness Ranch LLC is 1114880069. It was assigned to this organization in the NPPES registry on December 8, 2025.

Where is Wellness Ranch LLC located?

Wellness Ranch LLC is located at 2015 Stoney Point Road, Franklin, KY 42134. The listed phone number is (978) 440-3200.

What is Wellness Ranch LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Wellness Ranch LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2335508) is associated with this NPI, valid through December 11, 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 Wellness Ranch LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.