Organization Active NPI

Lifeline Health Care of Kentucky, Inc.

  • Rural Health Clinic/Center
  • Bowling Green, KY
National Provider Identifier
1629001052
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LIFELINE HEALTH CARE OF KENTUCKY, INC.
Practice address
1600 Scottsville Rd
Suite 300
Bowling Green, KY 42104-3217
Phone
(270) 781-0702
Fax
(270) 781-8489
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. James T. Wilson
Title
Ceo
Phone
(606) 679-4100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Rehabilitation Clinic/Center 261QR0400X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1600 Scottsville Rd
Suite 300
Bowling Green, KY 42104-3217

Mailing address

600 Clifty St
Somerset, KY 42503-1733
Phone (606) 679-4100

Other identifiers 4

IdentifierTypeStateIssuer
42031146MedicaidKY
34071142MedicaidKY
45342557MedicaidKY
41114034MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1629001052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLIFTY ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031733",
            "telephone_number": "606-679-4100",
            "fax_number": "606-678-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SCOTTSVILLE RD",
            "address_2": "SUITE 300",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043217",
            "telephone_number": "270-781-0702",
            "fax_number": "270-781-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HEALTH CARE OF KENTUCKY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-679-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42031146",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34071142",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45342557",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41114034",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.