Addiction Recovery Care LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Owenton, KY
NPI 1700438751 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1700438751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- ADDICTION RECOVERY CARE LLC
- Practice address
- 330 Roland Ave
Owenton, KY 40359-1502 - Phone
- (606) 638-0938
- NPI assigned
- Jul 10, 2019
- Organization subpart
- No
Authorized official
- Name
- Timmy Robinson
- Title
- Ceo
- Phone
- (606) 638-0938
Corporate family (same tax ID) 13
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2167059 | Addiction Recovery Care - Eagle Creek | Certificate of waiver | May 30, 2027 |
National Provider Directory
- Tax ID family
- Addiction Recovery Care
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
330 Roland Ave
Owenton, KY 40359-1502
Mailing address
PO Box 726
Louisa, KY 41230-0726
Phone (606) 638-0938
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 810348 | Other | KY | AODE |
Other names
- Eagle Creek
Other providers in Owenton, KY
- Acute Care Billing Ky, LLC
- Joy Charlene Arnold Morse
- At Home Dialysis Corp
- Earlene Barker
- Eric C. Baumann
- Denise Beck
All providers in Owenton, KY · Substance Abuse Rehabilitation Facility in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.