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LIFELINE RECOVERY CENTER, INC.
NPI 1912586389
Substance Abuse Rehabilitation Facility in Kevil, KY

Active since April 05, 2021CLIA 18D2220453 · Waiver
701 UPSHAW LANE, KEVIL, KY 42053(270) 443-4743(270) 477-0038 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2021, Apr 5, 2021 (2 updates tracked since 2021).

About Lifeline Recovery Center, Inc. NPPES

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

LIFELINE RECOVERY CENTER, INC. (NPI 1912586389) is a healthcare organization registered as a substance abuse rehabilitation facility in Kevil, Kentucky and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Ashley Rubeene Miller, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912586389
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLIFELINE RECOVERY CENTER, INC.
Location Address701 UPSHAW LANEKevil, KY 42053
Mailing AddressPo Box 7652Paducah, KY 42002-7652
Phone(270) 443-4743
Fax(270) 477-0038
Organization SubpartNo
Authorized OfficialAshley Rubeene MillerExecutive Director · (270) 227-1745
Enumeration DateApril 5, 2021
Last NPPES UpdateFebruary 13, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
✔ NPI 1912586389 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.
701 UPSHAW LANE, Kevil, KY 42053
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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 18D2220453

Lifeline Recovery Center · Kevil, KY
Active · expires Apr 12, 2027
CLIA Number18D2220453
Laboratory TypeSubstance Abuse Facility
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorMs. Ashley R. Miller
Laboratory Phone(270) 443-4743
Laboratory LocationLifeline Recovery Center701 Upshaw Lane, Kevil, KY 42053
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 Lifeline Recovery Center, Inc.'s NPI number?

The NPI number for Lifeline Recovery Center, Inc. is 1912586389. It was assigned to this organization in the NPPES registry on April 5, 2021.

Where is Lifeline Recovery Center, Inc. located?

Lifeline Recovery Center, Inc. is located at 701 Upshaw Lane, Kevil, KY 42053. The listed phone number is (270) 443-4743.

What is Lifeline Recovery Center, Inc.'s specialty?

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

Does Lifeline Recovery Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2220453) is associated with this NPI, valid through April 12, 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 Lifeline Recovery Center, Inc. was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.