Organization Active NPI

Blue Lick Recovery

  • Substance Abuse Rehabilitation Facility
  • Louisville, KY
National Provider Identifier
1790665701
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BLUE LICK RECOVERY
Practice address
8800 Blue Lick Rd
Louisville, KY 40219-4956
Phone
(912) 269-8577
Fax
(812) 558-0360
NPI assigned
Sep 3, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Rachel WashingtonNPI 1841900404
Title
Executive Director
Phone
(812) 269-8577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

8800 Blue Lick Rd
Louisville, KY 40219-4956

Mailing address

8800 Blue Lick Rd
Louisville, KY 40219-4956
Phone (912) 269-8577

National Provider Directory

National Provider Directory

Locations

8800 Blue Lick Rd
Louisville, KY 40219
Phone (502) 536-7553

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1790665701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 BLUE LICK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402194956",
            "telephone_number": "912-269-8577",
            "fax_number": "812-558-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 BLUE LICK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402194956",
            "telephone_number": "912-269-8577",
            "fax_number": "812-558-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LICK RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-269-8577"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.