Landmark Recovery of Kentucky LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LANDMARK RECOVERY OF KENTUCKY LLC

Practice address

4418 Malcolm Ave
Louisville, KY 40215-1122

Phone

(502) 713-7017

Fax

(833) 792-1347

NPI assigned

Mar 9, 2016

Organization subpart

No

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

Authorized official

Name

Alicia Neal

Title

Director of Managed Care

Phone

(629) 257-8260

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Landmark Recovery of Kentucky LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Landmark Recovery of Louisville LLC

  • Substance Abuse Rehabilitation Facility
  • Oklahoma City, OK
  • NPI 1205307220
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel David Sumrok, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • MC Kenzie, TN
  • NPI 1669461679
  NPD (past)
• Lucas E Wilmore

  • Addiction Medicine (Family Medicine) Physician
  • Franklin, TN
  • NPI 1215399092
  NPD (past)

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1477914166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HOLIDAY CT STE 102",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671386",
            "telephone_number": "629-257-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 MALCOLM AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151122",
            "telephone_number": "502-713-7017",
            "fax_number": "833-792-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK RECOVERY OF KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "629-257-8260"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100450510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Landmark of Iriquois Park Rehabilitation and Nursing Center
• Landmark of Louisville Rehabilitation and Nursing Center
• Landmark of River City Rehabilitation and Nursing Center
• Landmark Recovery of Kentucky LLC
• Landmark Recovery of Kentucky LLC
• Landmark Recovery Outpatient Services LLC
• Melissa J Landram, LCSW
• Connie Englert Lane, PT, CHT
• Halston Alexis Lane, M.S., CCC-SLP
• Hunter Robert Lane, MSOTR

• All providers in Louisville, KY
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.