LIFELINE RECOVERY CENTER, INC. – NPI #1912586389
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

LIFELINE RECOVERY CENTER, INC. is a substance abuse rehabilitation facility located in KEVIL, KY. NPPES has assigned the NPI number 1912586389 to LIFELINE RECOVERY CENTER, INC. on April 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 2 years ago on Feb 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFELINE RECOVERY CENTER, INC. below.

NPI Profile for
LIFELINE RECOVERY CENTER, INC.

NPI Number
1912586389
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIFELINE RECOVERY CENTER, INC.
Primary location
701 UPSHAW LANE
KEVIL, KY 42053
Phone: (270) 443-4743 Fax: (270) 477-0038
Mailing address
PO BOX 7652
PADUCAH, KY 42002-7652
Phone: Fax:
Organization Subpart
No
Authorized Official
ASHLEY MILLER
EXECUTIVE DIRECTOR
Phone: (270) 227-1745
Updated
Certification Date
Apr 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.