Active NPI
Lifeline Health Care of Central Kentucky, Inc.
- Rural Health Clinic/Center
- Lexington, KY
National Provider Identifier
1780617126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- LIFELINE HEALTH CARE OF CENTRAL KENTUCKY, INC.
- Practice address
- 155 W Tiverton Way
Suite 3
Lexington, KY 40503-4418 - Phone
- (859) 272-9787
- Fax
- (859) 272-4698
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
155 W Tiverton Way
Suite 3
Lexington, KY 40503-4418
Mailing address
600 Clifty St
Somerset, KY 42503-1733
Phone (606) 679-4100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42000026 | Medicaid | KY | |
| 45000536 | Medicaid | KY | |
| 34000067 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
155 W Tiverton Way
Ste 3
Lexington, KY 40503
Phone (859) 272-9787
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": "1780617126",
"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": "155 W TIVERTON WAY",
"address_2": "SUITE 3",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405034418",
"telephone_number": "859-272-9787",
"fax_number": "859-272-4698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINE HEALTH CARE OF CENTRAL 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": "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": "42000026",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45000536",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34000067",
"state": "KY"
}
],
"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 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.