NPIMap

Organization Active NPI

Lake Cumberland Regional Hospital LLC

Doing business as Lake Cumberland Regional Hospital-skilled nursing unit

  • Skilled Nursing Facility
  • Somerset, KY
National Provider Identifier
1629130562
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Doing business as
Lake Cumberland Regional Hospital-skilled nursing unit
Practice address
305 Langdon St
Somerset, KY 42503-2750
Phone
(606) 679-7441
Fax
(606) 678-9919
NPI assigned
Dec 15, 2006
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LAKE CUMBERLAND REGIONAL HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Charlotte Lawrence
Title
Secreatry
Phone
(615) 920-7688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

305 Langdon St
Somerset, KY 42503-2750

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Lake Cumberland Regional Hospital-skilled nursing unit Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcrh@direct.lakecumberlandhospital.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000433 KY Part A Provider - Skilled Nursing Facility 7214909456 Practice locations: Somerset, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629130562. Details of each certification follow.

Skilled nursing facility certification: CCN 185407

Legal name
LAKE CUMBERLAND REGIONAL HOSPITAL LLC
Doing business as
LAKE CUMBERLAND REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Apr 27, 1995
Last certification
Jan 9, 2025
Beds
12
Ownership / control type
Corporation
Multi-facility organization
Lifepoint health
Organization structure
LLCProprietary
Incorporated
Oct 19, 1998 in DE
Enrollment address
305 Langdon St
Somerset, KY 42503-2750
Nursing home name
LAKE CUMBERLAND REGIONAL HOSPITAL SCU
Affiliated entity
LIFEPOINT HEALTH

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Lake Cumberland Regional Hospital ScuCCN 185407 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
Apr 27, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
129.5 residents per day on average
Chain
Lifepoint Health8 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Lake Cumberland Regiona7 organizations share this tax ID, including this one
Part of
Lake Cumberland Regiona

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 1999 100%
Lifepoint Corporate Services General Partnership Organization, Brentwood, TN Operational/Managerial Control Jan 1, 2015
Adp of the SNF Jul 1, 2025
Brandon Dugger Individual Operational/Managerial Control Jun 1, 2015
Adp of the SNF Jun 1, 2015
Kimberely a Butler Individual Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 1, 2021
Carolyn Sparks Individual Operational/Managerial Control Jun 3, 2024
Adp of the SNF Jun 3, 2024
Kathy Mionroe Individual Operational/Managerial Control May 5, 2015
Adp of the SNF May 5, 2015
Rachel Branscum Individual Operational/Managerial Control Feb 1, 2020
Adp of the SNF Feb 1, 2020
William Haugh Individual Corporate OfficerPresident Sep 19, 2022
Jeffrey Herndon Individual Operational/Managerial Control Aug 27, 2010
Adp of the SNF Aug 27, 2010
Jonathan Ruby Individual Operational/Managerial Control Sep 13, 2023
Adp of the SNF Sep 13, 2023
DSB Acquisition LLC Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Rachel Manning Individual Operational/Managerial Control Mar 1, 2015
Adp of the SNF Mar 1, 2015
Annette Wesley Individual Operational/Managerial Control Jun 1, 2007
Adp of the SNF Jun 1, 2007
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 26, 2002 100%
Mete Sergin Individual Operational/Managerial Control Oct 31, 2023
Adp of the SNF Oct 31, 2023
Timothy Lessing Individual Operational/Managerial Control Jun 2, 2025
Adp of the SNF Jun 2, 2025
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jan 1, 1999 100%
Daniel Davis Individual Corporate OfficerChief Financial Officer Sep 19, 2022
Lifepoint Health Inc Organization, Brentwood, TN For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Adp of the SNF Sep 2, 2025
Spencer Hammond Individual Operational/Managerial Control Feb 1, 2018
Adp of the SNF Feb 1, 2018
Tanya Nelson-Hackney Individual Operational/Managerial Control Feb 14, 2024
Adp of the SNF Feb 14, 2024
Marcus B Poppell Individual Corporate OfficerVice President Nov 16, 2009
Charlotte E Lawrence Individual Corporate OfficerSecretary Jan 25, 2022
Jennifer Phillips Individual Operational/Managerial Control Mar 12, 2025
Adp of the SNF Mar 12, 2025
Kathleen Bradley Individual Operational/Managerial Control Feb 15, 2022
John Michael Grooms Individual Corporate OfficerVice President & Treasurer Nov 1, 2016
Christopher J Monte Individual Corporate OfficerVice President Jun 27, 2005
Vonda Lockard Individual Operational/Managerial Control Apr 1, 2006
Adp of the SNF Apr 1, 2006
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Lifepoint of Lake Cumberland Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest Jan 1, 1999 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 195

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Bourbon Community Hospital LLC

    dba Bourbon Community Hospital

    • Rural Acute Care Hospital
    • Paris, KY
    • NPI 1427132158

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Bourbon Community Hospital LLC

    dba Bourbon Community Hospital

    • Psychiatric Hospital Unit
    • Paris, KY
    • NPI 1902089865

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Bourbon Physician Practice LLC

    dba Bluegrass Family Clinic

    • Rural Health Clinic/Center
    • Paris, KY
    • NPI 1962111716

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Clark Regional Physician Practices LLC

    dba Centerpoint Family Medicine - Mt. Sterling

    • Rural Health Clinic/Center
    • Mt Sterling, KY
    • NPI 1780356253

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Clark Regional Physician Practices LLC

    dba Centerpoint Family Medicine - Winchester Boonesboro Road

    • Rural Health Clinic/Center
    • Winchester, KY
    • NPI 1831852771

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Clark Regional Physician Practices LLC

    dba Centerpoint Primary Care - Winchester

    • Rural Health Clinic/Center
    • Winchester, KY
    • NPI 1841953783

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Fleming Medical Center LLC

    dba Fleming County Hospital

    • Critical Access Hospital
    • Flemingsburg, KY
    • NPI 1881726347

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Georgetown Community Hospital LLC

    dba Gerogetown Community Hospital

    • Rural Acute Care Hospital
    • Georgetown, KY
    • NPI 1326107319

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Kentucky Hospital, LLC

    dba Clark Regional Medical Center

    • General Acute Care Hospital
    • Winchester, KY
    • NPI 1811213994

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Kentucky in-Home Partner-I, LLC

    dba Lifeline of Jackson Purchase Home Health

    • Home Health Agency
    • Mayfield, KY
    • NPI 1508394594

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Kentucky Mso LLC

    dba Centerpoint Family Medicine - Lawrenceburg

    • Rural Health Clinic/Center
    • Lawrenceburg, KY
    • NPI 1922860758

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Lake Cumberland Regional Hospital LLC

    dba Lake Cumberland Medical Associates

    • Rural Health Clinic/Center
    • Somerset, KY
    • NPI 1023155462

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC, Lifepoint of Lake Cumberland

    CMS ownership
View all 195

Practitioners & affiliated clinicians

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1629130562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032750",
            "telephone_number": "606-679-7441",
            "fax_number": "606-678-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND REGIONAL HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE CUMBERLAND REGIONAL HOSPITAL LLC",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECREATRY",
        "authorized_official_telephone_number": "615-920-7688"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcrh@direct.lakecumberlandhospital.net",
            "affiliation": "N",
            "address_1": "305 Langdon St",
            "city": "Somerset",
            "state": "KY",
            "country_code": "US",
            "postal_code": "425032750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lake Cumberland Regional Hospital-skilled nursing unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Cumberland Regional Hospital-skilled nursing unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.