ADANTA GROUP EPSDT
NPI 1639206493
Clinic/Center - Rehabilitation in Somerset, KY

Q: What is Lake Cumberland Reg Mhmr Board Epsdt's NPI number?

The NPI number for Lake Cumberland Reg Mhmr Board Epsdt is 1639206493. It was assigned to this organization in the NPPES registry on February 28, 2007.

Q: What is Lake Cumberland Reg Mhmr Board Epsdt's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Active since February 28, 2007CLIA 18D1035012 · Waiver

130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501(606) 679-4782(606) 678-5296 Get Directions Write a Review

NPPES record last updated: December 26, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Adanta Group Epsdt NPPES

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

ADANTA GROUP EPSDT (NPI 1639206493) is a healthcare organization registered as a rehabilitation in Somerset, Kentucky and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Jack Lewis, Hr Director, as its authorized official.

NPPES Registry Identity

NPI1639206493

Entity TypeOrganization

Primary Taxonomy261QR0400X

Legal Business NameLAKE CUMBERLAND REG MHMR BOARD EPSDT

Location Address130 SOUTHERN SCHOOL RDSomerset, KY 42501-3223

Mailing Address130 Southern School RdSomerset, KY 42501-3223 · (606) 679-4782 · Fax (606) 678-5296

Phone(606) 679-4782

Fax(606) 678-5296

Organization SubpartNo

Authorized OfficialJack LewisHr Director · (606) 679-4782

Enumeration DateFebruary 28, 2007

Last NPPES UpdateDecember 26, 2013

✔ NPI 1639206493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

130 SOUTHERN SCHOOL RD, Somerset, KY 42501

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Other Names 1

Doing Business AsAdanta Group Epsdt

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 18D1035012

Adanta Group The · Somerset, KY

Active · expires Dec 19, 2026

CLIA Number18D1035012

Laboratory TypeOther

Certificate Effective DateDecember 20, 2024

Certificate Expiration DateDecember 19, 2026

Laboratory DirectorJamie S. Burton

Laboratory Phone(606) 679-4782

Laboratory LocationAdanta Group The259 Parkers Mill Road, Somerset, KY 42501

CLIA data matches this NPI record on: 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.

LAKE CUMBERLAND REGIONAL MENTAL HEALTH MENTAL RETARDATION BOARD, INC.

Community/Behavioral Health