VIP COMMUNITY HEALTH LLC
NPI 1457041980
Clinic/Center - Rural Health in Lawrenceburg, KY

Active since May 09, 2023CLIA 18D2284847 · Waiver
503 HUMSTON DR, LAWRENCEBURG, KY 40342(270) 543-7557 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2025, Jun 6, 2023, May 9, 2023 (3 updates tracked since 2023).

About Vip Community Health Llc NPPES

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

VIP COMMUNITY HEALTH LLC (NPI 1457041980) is a healthcare organization registered as a rural health in Lawrenceburg, Kentucky and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Debra Hardison, Owner, as its authorized official.

NPPES Registry Identity

NPI1457041980
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameVIP COMMUNITY HEALTH LLC
Location Address503 HUMSTON DRLawrenceburg, KY 40342-1927
Mailing Address3064 Pea Ridge RdWaddy, KY 40076-6107 · (270) 543-7557
Organization SubpartNo
Authorized OfficialDebra HardisonOwner · (270) 543-7557
Enumeration DateMay 9, 2023
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1457041980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
503 HUMSTON DR, Lawrenceburg, KY 40342

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vip Community Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Vip Community Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1104815141
503 HUMSTON DR
Lawrenceburg, KY 40342
(502) 517-0506
✔ PECOSSame address
Nurse Practitioner
NPI 1851922744
503 HUMSTON DR
Lawrenceburg, KY 40342
(502) 517-0506
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497356745
1004 DEWEY DR STE A
Lawrenceburg, KY 40342
(502) 353-4100
✔ PECOS✔ Accepts Medicare2.4 mi
Nurse Practitioner
NPI 1639802515
800 ROSE ST
Lexington, KY 40536
(859) 257-1000
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1275514408
9702 STONESTREET RD STE 120
Louisville, KY 40272
(866) 510-4357
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1790091080
1143 FAIRWAY STREET SUITE 103
Bowling Green, KY 42103
(812) 901-6881
✔ PECOS✔ Accepts Medicare111 mi
Clinical Social Worker
NPI 1215010491
222 PHILLIP STONE WAY
Central City, KY 42330
(270) 754-3494
✔ PECOS✔ Accepts Medicare132 mi
Internal Medicine
NPI 1225039258
222 PHILLIP STONE WAY
Central City, KY 42330
(270) 754-3494
✔ PECOS132 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 18D2284847

Vip Community Health LLC · Lawrenceburg, KY
Active · expires Jun 28, 2027
CLIA Number18D2284847
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorMs. Debra L. Hardison
Laboratory Phone(502) 353-0102
Laboratory LocationVip Community Health LLC503 Humston Dr, Lawrenceburg, KY 40342
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 Vip Community Health LLC's NPI number?

The NPI number for Vip Community Health LLC is 1457041980. It was assigned to this organization in the NPPES registry on May 9, 2023.

Where is Vip Community Health LLC located?

Vip Community Health LLC is located at 503 Humston Dr, Lawrenceburg, KY 40342. The listed phone number is (270) 543-7557.

What is Vip Community Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Vip Community Health LLC enrolled in Medicare?

Yes. Vip Community Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vip Community Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Vip Community Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Clinical Social Worker (1) and Internal Medicine (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vip Community Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2284847) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vip Community Health LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Vip Community Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vip Community Health LLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.