ETHAN HEALTH LLC
NPI 1962851584
Substance Abuse Rehabilitation Facility in Richmond, KY

Active since June 04, 2016
1623 FOXHAVEN DR, RICHMOND, KY 40475(859) 317-8714 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ethan Health Llc NPPES

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

ETHAN HEALTH LLC (NPI 1962851584) is a healthcare organization registered as a substance abuse rehabilitation facility in Richmond, Kentucky and active in the NPI registry since June 2016. The organization maintains a secondary practice location in Burlington and lists Ashley Fenn, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962851584
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameETHAN HEALTH LLC
Location Address1623 FOXHAVEN DRRichmond, KY 40475-1056
Mailing Address1623 Foxhaven DrRichmond, KY 40475-1056
Organization SubpartNo
Authorized OfficialAshley FennCfo · (859) 317-9714
Enumeration DateJune 4, 2016
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1962851584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
1623 FOXHAVEN DR, Richmond, KY 40475

Secondary Practice Location 1

Location 16159 1st Financial Dr Ste 100Burlington, KY 41005-7892 · Phone (859) 625-5235

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Ethan Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Clinical Social Worker
NPI 1528777570
1621 FOXHAVEN DR
Richmond, KY 40475
(859) 625-5235
✔ PECOSSame address
Clinical Social Worker
NPI 1386300085
1623 FOXHAVEN DR
Richmond, KY 40475
(859) 625-5235
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1457401374
106 E MAIN ST
Richmond, KY 40475
(606) 776-4741
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1902350556
312 JASON DR STE 9
Richmond, KY 40475
(859) 626-9696
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1144871138
316 HIGHLAND PARK DR
Richmond, KY 40475
(859) 302-6752
✔ PECOS3.4 mi
Urology
NPI 1750387239
2444 HARRODSBURG RD
Lexington, KY 40503
(859) 277-5766
✔ PECOS✔ Accepts Medicare21 mi

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

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 Ethan Health LLC's NPI number?

The NPI number for Ethan Health LLC is 1962851584. It was assigned to this organization in the NPPES registry on June 4, 2016.

Where is Ethan Health LLC located?

Ethan Health LLC is located at 1623 Foxhaven Dr, Richmond, KY 40475. The listed phone number is (859) 317-8714.

What is Ethan Health LLC's specialty?

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

Is Ethan Health LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Ethan Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Ethan 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 Clinical Social Worker (3), Nurse Practitioner (2) and Urology (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ethan Health LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Ethan 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 Ethan Health LLC was last updated on July 31, 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.