Organization Active NPI

Kentucky Wellness Center LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Cadiz, KY
National Provider Identifier
1750243432
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
KENTUCKY WELLNESS CENTER LLC
Practice address
2087 Kings Chapel Rd
Cadiz, KY 42211
Phone
(949) 506-6162
NPI assigned
Dec 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Emily Hinson
Title
Authorized Official
Phone
(270) 632-9871

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

2087 Kings Chapel Rd
Cadiz, KY 42211

Mailing address

2915 Red Hill Ave Ste A210C
Costa Mesa, CA 92626-7979

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
18D2337543Kentucky Wellness Center LLC2087 Kings Chapel Road, Cadiz, KY 42211Certificate of waiverJan 25, 2028

National Provider Directory

National Provider Directory

Locations

2087 Kings Chapel Rd
Cadiz, KY 42211

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1750243432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 RED HILL AVE STE A210C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 KINGS CHAPEL RD",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "42211",
            "telephone_number": "949-506-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "HINSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "270-632-9871"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.