NPIMap

Organization Active NPI

Lake Cumberland Recovery, Inc

Doing business as Bluegrass Horizon

  • Substance Abuse Rehabilitation Facility
  • Somerset, KY
National Provider Identifier
1306432141
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LAKE CUMBERLAND RECOVERY, INC
Doing business as
Bluegrass Horizon
Practice address
276 Horseshoe Dr
Somerset, KY 42501-6108
Phone
(606) 341-1160
NPI assigned
Dec 16, 2020
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
LAKE CUMBERLAND RECOVERY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mikkle Hampton
Title
President
Phone
(606) 516-9939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

276 Horseshoe Dr
Somerset, KY 42501-6108

Mailing address

PO Box 305
Burnside, KY 42519-0305

Other names 1

  • Bluegrass Horizon Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake Cumberland Recovery Inc6 organizations share this tax ID, including this one
Part of
Lake Cumberland Recovery Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1306432141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "BURNSIDE",
            "state": "KY",
            "postal_code": "425190305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 HORSESHOE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016108",
            "telephone_number": "606-341-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND RECOVERY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE CUMBERLAND RECOVERY, INC",
        "enumeration_date": "2020-12-16",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "MIKKLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-516-9939"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Horizon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluegrass Horizon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.