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LAKE CUMBERLAND RECOVERY, INC
NPI 1902442585
Clinic/Center - Rehabilitation, Substance Use Disorder in Burnside, KY

Active since November 19, 2019
8294 S HIGHWAY 27, BURNSIDE, KY 42519(606) 516-9939 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2021, Nov 19, 2019 (2 updates tracked since 2019).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About LAKE CUMBERLAND RECOVERY, INC

This page provides the complete NPI Profile along with additional information for Lake Cumberland Recovery, Inc, a provider established in Burnside, Kentucky operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1902442585 assigned on November 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Mikkle Lee Hampton (President)

NPI
1902442585 Verify this NPI
Provider Name
LAKE CUMBERLAND RECOVERY, INC
Entity Type
Organization
Location Address
8294 S HIGHWAY 27 BURNSIDE, KY 42519
Location Phone
(606) 516-9939
Mailing Address
505 WONDERING WOODS SOMERSET, KY 42053
Mailing Phone
(606) 516-9939
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2019
Last Update Date
12-10-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MIKKLE LEE HAMPTON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(606) 516-9939

Reviews for LAKE CUMBERLAND RECOVERY, INC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

LORI BETH STOGSDILL RN
Registered Nurse
8294 S HIGHWAY 27
BURNSIDE, KY 42519
Pulaski County (606) 341-1160
LAKE CUMBERLAND RECOVERY, INC
Substance Abuse Rehabilitation Facility
8294 S HIGHWAY 27
BURNSIDE, KY 42519
Pulaski County (606) 516-9939

Frequently Asked Questions

What is LAKE CUMBERLAND RECOVERY, INC's NPI number?

The NPI number assigned to this healthcare provider is 1902442585, enumerated as an "organization" on November 19, 2019.

Where is the provider located?

The provider is located at 8294 S HIGHWAY 27 BURNSIDE, KY 42519 and the phone number is (606) 516-9939.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.