Organization Active NPI

Shadowrock Recovery

  • Substance Abuse Rehabilitation Facility
  • Lexington, KY
National Provider Identifier
1609614379
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SHADOWROCK RECOVERY
Practice address
2720 Old Rosebud Rd Ste 360
Lexington, KY 40509-8004
Phone
(606) 303-0785
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Leigh Kane, MMLNPI 1720699861
Title
Operations Manager
Phone
(606) 303-0785

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
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2720 Old Rosebud Rd Ste 360
Lexington, KY 40509-8004

Mailing address

2720 Old Rosebud Rd Ste 360
Lexington, KY 40509-8004
Phone (606) 303-0785

National Provider Directory

National Provider Directory

Locations

2720 Old Rosebud Rd
Ste 360
Lexington, KY 40509
Phone (606) 303-0785

2720 Old Rosebud Rd
Ste 310B
Lexington, KY 40509

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": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1609614379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 OLD ROSEBUD RD STE 360",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098004",
            "telephone_number": "606-303-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 OLD ROSEBUD RD STE 360",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098004",
            "telephone_number": "606-303-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOWROCK RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "606-303-0785",
        "authorized_official_credential": "MML"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.