FMHC Wellness Lodge LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FMHC WELLNESS LODGE LLC

Practice address

190 Kings Daughters Dr
Frankfort, KY 40601-4104

Phone

(561) 779-2123

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Sardar Khan, MSW

Title

Executive Director

Phone

(561) 779-2123

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

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

• Dana Elizabeth Ahmed, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
  • NPI 1992418420
  Medicare reassignment NPD
• Diana L Spring, APRN, FNP-C

  • Family Nurse Practitioner
  • Richmond, KY
  • NPI 1003212515
  Medicare reassignment NPD
• Najam Khan, COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • Lexington, KY
  • NPI 1205388964
  NPD

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1548024805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54330",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405554330",
            "telephone_number": "561-779-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 KINGS DAUGHTERS DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014104",
            "telephone_number": "561-779-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMHC WELLNESS LODGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SARDAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-779-2123",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Fields, APRN, FNP-BC
• First on Site
• Thomas Edward Fitzgerald, RPH
• Amanda Elizabeth Flaig, MS, LAT, ATC
• Tanya Yolanda Moreno Fluke, LPCA
• Rhonda Fowler
• FP Frankfort
• Meredith Hoover Frame, M.D.
• Frankfort Area Children'S Council
• Frankfort Chiropractic Center East PLLC

• Substance Abuse Rehabilitation Facility in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.