Serenity Ranch Recovery LLC · Substance Abuse Rehabilitation Facility

7415 Nolin Dam Rd, Mammoth Cave, KY 42259-7404

Overview

Serenity Ranch Recovery LLC is a Substance Abuse Rehabilitation Facility (organization) practicing in Mammoth Cave, Kentucky. The National Provider Identifier (NPI) is #1164246328, which was assigned on November 13, 2024, and the registration record was last updated on November 13, 2024. The practitioner's main practice location is at 7415 Nolin Dam Rd, Mammoth Cave, KY 42259-7404; the contact telephone number is 8177971407. The primary taxonomy of Serenity Ranch Recovery LLC is Substance Abuse Rehabilitation Facility (324500000X). The authorized official for Serenity Ranch Recovery LLC is Tyler Jenkins (Director of Inpatient Services).

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.

Provider Information

NPI 1164246328
Entity Type Organization
Organization Name SERENITY RANCH RECOVERY LLC
Provider Name SERENITY RANCH RECOVERY LLC
Practice Address 7415 Nolin Dam Rd
Mammoth Cave
KY 42259-7404
Practice Telephone 8177971407
Mailing Address 7415 Nolin Dam Rd
Mammoth Cave
KY 42259-7404
Certification Date 2024-11-13
Enumeration Date 2024-11-13
Last Update Date 2024-11-13
Is Organization Subpart N

Authorized Official Information

Official Name TYLER JENKINS
Official Title DIRECTOR OF INPATIENT SERVICES
Telephone 8177971407

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y324500000XSubstance Abuse Rehabilitation Facility

Taxonomy Information

Primary Taxonomy

Code 324500000X
Taxonomy Substance Abuse Rehabilitation Facility
Classification Substance Abuse Rehabilitation Facility
Grouping Residential Treatment Facilities
Definition: 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.
Notes: [7/1/2003: modified title, modified definition]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Next Phase Recovery Center Inc 15002 Otsego St, Sherman Oaks, CA 91403Substance Abuse Rehabilitation Facility2026-02-04
Babo's House LLC 1820 E Pine St, Compton, CA 90221-1353Substance Abuse Rehabilitation Facility2026-01-29
Americare Wellness Corp 11630 Keleket Dr, Pittsburgh, PA 15235-3327Substance Abuse Rehabilitation Facility2026-02-05
Leslie's House LLC 4312 Berger Ave, Baltimore, MD 21206-3649Substance Abuse Rehabilitation Facility2026-02-05
Colossal Living 5103 Woodland Blvd, Oxon Hill, MD 20745-3751Substance Abuse Rehabilitation Facility2026-02-04
Muncie Rehab Opco LLC 3000 S Tillotson Ave, Muncie, IN 47302-6549Substance Abuse Rehabilitation Facility2026-02-04
Ommni Health & Wellness 5821 Allentown Rd, Suitland, MD 20746-4570Substance Abuse Rehabilitation Facility2026-02-04
Lifespring Recovery of Andover, LLC 224 E Central Ave, Andover, KS 67002-8580Substance Abuse Rehabilitation Facility2026-02-04
Sarah's House Mental Health Services, LLC 402 N Hilton St, Baltimore, MD 21229-3028Substance Abuse Rehabilitation Facility2026-02-04
Shoqwel Ya' Lhaolh-Ew'Xw 2588 Kwina Rd, Bellingham, WA 98226-9278Substance Abuse Rehabilitation Facility2026-02-02
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Location Information

Street Address 7415 NOLIN DAM RD
City MAMMOTH CAVE
State KY
Zip Code 42259-7404
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Serenity Ranch Wellness LLC 2856 Nolin Dam Rd, Mammoth Cave, KY 42259-8103Substance Abuse Rehabilitation Facility2025-11-04
Kristie Nicole Meredith 475 Brier Creek Meadows Rd, Mammoth Cave, KY 42259-7813Speech-Language Pathologist2025-07-16

Providers in the state of KY

Provider NameAddressTaxonomyEnumeration Date
Progressive Path Aba 185 Charlotte Dr, Bowling Green, KY 42104-7758Behavioral Analyst2026-02-06
Kayla Smith Po Box 568, Corbin, KY 40702-0568Mental Health Counselor2026-02-06
Leah Raedene Pettry 104 S Front Ave, Prestonsburg, KY 41653-1614Psychiatric/Mental Health Nurse Practitioner2026-02-06
Alicia B Meeks 50 Gene Cash Rd, Campbellsville, KY 42718-4939Behavior Technician2026-02-06
Neuro Vitality LLC 500 S Lincoln Blvd, Hodgenville, KY 42748-1017Developmentally Disabled Services Day Training Agency2026-02-06
Casey Medical Practice LLC 430 E Pleasant St, Cynthiana, KY 41031-1816Internal Medicine Physician2026-02-06
Bluegrass Ultrasound, LLC 775 Cloverbrook Lane, Sharpsburg, KY 40374Other Technician2026-02-06
Tiffany Ann White 1550 Kentucky Highway 15, Suite 240, Jackson, KY 41339Family Nurse Practitioner2026-02-06
New Hope Home Care Services LLC 1344 Ox Hill Dr, Lexington, KY 40517-3313Home Health Agency2026-02-06
Kentucky Anesthesia Team PLLC 2800 Cannons Ln Ste 100, Louisville, KY 40205-2173Anesthesiology Physician2026-02-06
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Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Serenity Recovery Center 1915 Adelicia St, Nashville, TN 37212-2112Substance Abuse Rehabilitation Facility2025-06-09
Buddys Ranch LLC 654 Lask Dr, Yuba City, CA 95991-7300Case Management Agency2025-08-06
New River Ranch Inc 351 New River Ranch Dr, Fayetteville, WV 25840-6220Clinical Social Worker2023-06-14
New Hope Ranch 11908 Sparks Road, Manor, TX 78653Addiction (Substance Use Disorder) Counselor2018-05-09
Buddys Ranch LLC 734 Mariner Loop, Yuba City, CA 95991-7531Substance Abuse Rehabilitation Facility2025-12-11
River Ranch Recovery Inc. 1049 Mineral Wells Ave Ste B, Paris, TN 38242-5059Adult Mental Health Clinic/Center2025-11-18
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.