Active NPI
Lighthouse Recovery Residences, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Elizabethtown, KY
National Provider Identifier
1053232108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- LIGHTHOUSE RECOVERY RESIDENCES, LLC
- Practice address
- 120 S Mantle Ave
Elizabethtown, KY 42701-1606 - Phone
- (502) 417-9675
- Fax
- (270) 360-0840
- NPI assigned
- Jul 23, 2026
- Last updated
- Jul 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Metcalfe
- Title
- Owner
- Phone
- (270) 234-0003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
120 S Mantle Ave
Elizabethtown, KY 42701-1606
Mailing address
120 S Mantle Ave
Elizabethtown, KY 42701-1606
Phone (502) 417-9675
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Peer Specialist
- Elizabethtown, KY
- NPI 1073399812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784764800000",
"number": "1053232108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S MANTLE AVE",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011606",
"telephone_number": "502-417-9675",
"fax_number": "270-360-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S MANTLE AVE",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011606",
"telephone_number": "502-417-9675",
"fax_number": "270-360-0840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE RECOVERY RESIDENCES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-23",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A",
"authorized_official_last_name": "METCALFE",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-234-0003"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
- Judith L. Lesher, CCC-SLP
- Holly Jo Lewis, PT, DPT, OCS
- Ronald Lewis, CRNA
- Jacquelynn Anne Liddington, PAC
- Life Designs Behavioral Health Center, LLC (Life Designs)
- Lighthouse Sober Solutions LLC (Lighthouse Sober Solutions)
- Thaddeus John Ligon
- Angela Gail Lile, PT
- James Michael Lile I, RPH
- Lincare Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.