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SERENITY RANCH RECOVERY LLC
NPI 1164246328
Substance Abuse Rehabilitation Facility in Mammoth Cave, KY

Active since November 13, 2024CLIA 18D2315825 · Waiver
7415 NOLIN DAM RD, MAMMOTH CAVE, KY 42259(817) 797-1407 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Serenity Ranch Recovery Llc NPPES

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

SERENITY RANCH RECOVERY LLC (NPI 1164246328) is a healthcare organization registered as a substance abuse rehabilitation facility in Mammoth Cave, Kentucky and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through December 18, 2026 and lists Tyler Jenkins, Director Of Inpatient Services, as its authorized official.

NPPES Registry Identity

NPI1164246328
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSERENITY RANCH RECOVERY LLC
Location Address7415 NOLIN DAM RDMammoth Cave, KY 42259-7404
Mailing Address7415 Nolin Dam RdMammoth Cave, KY 42259-7404
Phone(817) 797-1407
Organization SubpartNo
Authorized OfficialTyler JenkinsDirector Of Inpatient Services · (817) 797-1407
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1164246328 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.

7415 NOLIN DAM RD, Mammoth Cave, KY 42259
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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 18D2315825

Serenity Ranch Recovery · Mammoth Cave, KY
Active · expires Dec 18, 2026
CLIA Number18D2315825
Laboratory TypeDetox Medical Facility
Certificate Effective DateDecember 19, 2024
Certificate Expiration DateDecember 18, 2026
Laboratory DirectorMs. Jessica Thomas
Laboratory Phone(817) 797-1407
Laboratory LocationSerenity Ranch Recovery7415 Nolin Dam Rd, Mammoth Cave, KY 42259
CLIA data matches this NPI record on: Address Name Phone
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 Serenity Ranch Recovery LLC's NPI number?

The NPI number for Serenity Ranch Recovery LLC is 1164246328. It was assigned to this organization in the NPPES registry on November 13, 2024.

Where is Serenity Ranch Recovery LLC located?

Serenity Ranch Recovery LLC is located at 7415 Nolin Dam Rd, Mammoth Cave, KY 42259. The listed phone number is (817) 797-1407.

What is Serenity Ranch Recovery LLC's specialty?

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

Does Serenity Ranch Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2315825) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Serenity Ranch Recovery LLC was last updated on November 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.