EASTERN KENTUCKY RECOVERY, LLC (NPI# 1538653639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538653639 |
| Entity Type | Organization |
| Organization Name | EASTERN KENTUCKY RECOVERY, LLC |
| Practice Address |
5860 Main St Ste B Clay City KY 40312-1319 |
| Mailing Address |
1094 Us Highway 27 S Ste A Cynthiana KY 41031-7078 |
| Practice Telephone | 8595880015 |
| Mailing Telephone | 8595693145 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | TRACY S FRYMAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8595693145 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
KY | Ambulatory Health Care Facilities | |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
5860 MAIN ST STE B |
| City | CLAY CITY |
| State | KY |
| Zip Code | 40312-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104481993 | Tonya L Hogge | Home Health | 3660 Black Creek Rd, Clay City, KY 40312 | 2019-05-07 |
| 1932526654 | Lab One of Ohio Inc | Clinical Medical Laboratory | 98 Post Office Drive, Clay City, KY 40312 | 2014-03-19 |
| 1851545602 | Dorrita Mullins | Nurse Practitioner | 98 River Street, Clay City, KY 40312 | 2008-11-06 |
| 1609081124 | Gary J. Richardson | Pharmacist | 4644 Highway 15 W, Clay City, KY 40312 | 2007-05-10 |
| 1861604142 | Creekside Child Development Services Inc | Clinic/Center | 1120 Brush Creek Road, Clay City, KY 40312 | 2007-05-07 |
| 1487793113 | Sandra Crum-stevens | Dentist | 98 River Street Suite A, Clay City, KY 40312 | 2007-02-06 |
| 1528110657 | Powell Adult Day Care | Clinic/Center | 176 12th Street, Clay City, KY 40312 | 2007-01-17 |
| 1295762987 | Jordan Drug, Inc. | Durable Medical Equipment & Medical Supplies | 4644 Highway 15 West, Clay City, KY 40312 | 2006-06-27 |
| 1265830996 | Sasha Flinchum | Pharmacist | 4644 Highway 15 West, Clay City, KY 40312 | 2014-12-11 |
| 1487869731 | Barry Livingston Rose | Pharmacist | 4644 Highway 15 West, Clay City, KY 40312 | 2007-05-11 |
| Find all providers in zip 40312 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104431543 | Stephanie Caudill | Family Medicine | 1145 W Lexington Ave Ste C, Winchester, KY 40391-1290 | 2020-09-12 |
| 1083231682 | Cherawen Group | Family Medicine | 4060 Troy Pike, Versailles, KY 40383-8924 | 2020-06-30 |
| 1295357531 | Unbound Treatment, Inc. | Family Medicine | 67 Harbor Dr, Jamestown, KY 42629-8036 | 2020-05-09 |
| 1891294336 | Nanncoh LLC | Family Medicine | 700 Envoy Cir Ste 702, Louisville, KY 40299-1812 | 2018-02-11 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1922496223 | Hope Recovery Center | Family Medicine | 9300 Shelbyville Rd Ste 506, Louisville, KY 40222-5164 | 2015-01-08 |
| 1629317391 | Burns Mack Brady | Family Medicine | 1017 W. Market St., Louisville, KY 40202 | 2013-01-31 |
| 1548533482 | Laurel County Sobriety Center Pllc | Family Medicine | 1658 East 192 Bypass, London, KY 40741 | 2012-02-22 |
| 1558328179 | Paul Wilson Craig II | Family Medicine | 6500 Highway 645, Suite 110, Inez, KY 41224 | 2006-04-27 |
| 1407856057 | Anthony Wade Alvarez | Family Medicine | 820 Dolwick Dr, Erlanger, KY 41018-2774 | 2005-07-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.