Organization Active NPI

Ohana Care of Lake Cumberland, LLC

  • Family Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1609586122
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OHANA CARE OF LAKE CUMBERLAND, LLC
Practice address
310 W Columbia St
Somerset, KY 42501-1618
Phone
(606) 331-5328
Fax
(859) 207-6700
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Sara Beth PenceNPI 1386051068
Title
Owner/Aprn
Phone
(606) 331-5328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

310 W Columbia St
Somerset, KY 42501-1618

Mailing address

650 S Highway 27 # 308
Somerset, KY 42501-3501
Phone (606) 331-5328

Other identifiers 1

IdentifierTypeStateIssuer
1386051068OtherKYNPI INDIVIDUAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ohanacarelc@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230203000663 KY Part B Supplier - Clinic/Group Practice 7618349408 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2273243Ohana Care of Lake Cumberland, LLC310 W Columbia St, Somerset, KY 42501Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory

Locations

650 S Highway 27
#308
Somerset, KY 42501

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1609586122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S HIGHWAY 27 # 308",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013501",
            "telephone_number": "606-331-5328",
            "fax_number": "859-207-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W COLUMBIA ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011618",
            "telephone_number": "606-331-5328",
            "fax_number": "859-207-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA CARE OF LAKE CUMBERLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "606-331-5328"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1386051068",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ohanacarelc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "100 Hardin Ln Ste 3 1/2",
            "city": "Somerset",
            "state": "KY",
            "country_code": "US",
            "postal_code": "425033812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.