KMI ACQUISITION LLC (NPI# 1104097021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104097021 |
| Entity Type | Organization |
| Organization Name | KMI ACQUISITION LLC |
| Other Organization Name | THE BROOK HOSPITAL KMI |
| Practice Address |
8521 Lagrange Rd Louisville KY 40242-3800 |
| Practice Telephone | 5024266380 |
| Practice Fax Number | 5028143711 |
| Mailing Telephone | 5024266380 |
| Mailing Fax Number | 5028143711 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | MR. STEVE FILTON (VICE PRESIDENT) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 00616002 | KY | Allopathic & Osteopathic Physicians |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 100241 | KY | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 810229 | KY | Residential Treatment Facilities |
| Y | 283Q00000X | Psychiatric Hospital | 100241 | KY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT ADVANTAGE | 3534130000 | 01 |
| KY | ANTHEM | 000000556016 | 01 |
| KY | MAGELLAN BEHAVIORAL HEALT | 008618000 | 01 |
| IN | 200910090A | 05 | |
| KY | 7100036170 | 05 | |
| KY | 7100029460 | 05 | |
| OH | 2361377 | 05 |
| Other Name | Type Code |
|---|---|
| The Brook Hospital KMI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598050 | Kmi Acquisition LLC | Psychiatric Residential Treatment Facility | 8521 Lagrange Rd, Louisville, KY 40242-3800 | 2005-09-15 |
| Street Address |
8521 LAGRANGE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40242-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598050 | Kmi Acquisition LLC | Psychiatric Residential Treatment Facility | 8521 Lagrange Rd, Louisville, KY 40242-3800 | 2005-09-15 |
| 1952547796 | Noreen Margaret Speckman | Psychologist | 8521 Lagrange Rd, Louisville, KY 40242-3800 | 2008-12-29 |
| 1538340690 | Mary Lynn Thieneman | Social Worker | 8521 Lagrange Rd, Louisville, KY 40242-3800 | 2007-11-16 |
| 1609083765 | Cynthia Sue Bowling | Social Worker | 8521 Lagrange Rd, Louisville, KY 40242-3800 | 2007-05-17 |
| 1457416828 | Kenneth Irwin Haysley | Marriage & Family Therapist | 8521 Lagrange Rd, Louisville, KY 40242-3800 | 2006-12-26 |
| 1770657868 | Timothy N Burke | Psychiatry & Neurology | 8521 Lagrange Rd, Louisville, KY 40242-3800 | 2006-11-20 |
| 1932273174 | Ronald L Spears | Psychiatry & Neurology | 8521 Lagrange Rd, Louisville, KY 40242-3800 | 2006-11-20 |
| 1235223751 | Mary Lynn Thieneman | Social Worker | 8521 Lagrange Rd, Physician's Bldg, Louisville, KY 40242-3800 | 2006-10-02 |
| 1073620860 | Jana Eiche | Counselor | 8521 Lagrange Rd, Louisville, KY 40242-3800 | 2006-08-25 |
| 1467473488 | Mina Rae Thevenin | Social Worker | 8521 Lagrange Rd, Louisville, KY 40242-3800 | 2006-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689729121 | Robert E Bohn | Dentist | 9325 New Lagrange Road, Louisville, KY 40242 | 2007-01-24 |
| 1447303714 | Margaret C Campisano | Dentist | 9325 New Lagrange Rd, Louisville, KY 40242 | 2007-01-19 |
| 1386743037 | Kentuckiana Psychotherapy Associates | Social Worker | 9017 Taylorsville Rd, Louisville, KY 40242 | 2006-09-21 |
| 1245332279 | Paul Ezekiel Buck Sr. | Dentist | 8700 Bayberry Place, Paul E Buck Dmd, Louisville, KY 40242 | 2006-09-01 |
| 1326150947 | Terri White | Social Worker | 2603 Ballantrae Cir, Louisville, KY 40242 | 2006-08-31 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1841795317 | Ogedi Omenyinma | Non-emergency Medical Transport (VAN) | 2807 Valhalla Ct, Louisville, KY 40242-2402 | 2018-03-27 |
| 1275183451 | Emily Katherine Sturgeon | Nurse Practitioner | 8312 Easton Ln, Louisville, KY 40242-2518 | 2019-09-18 |
| 1538562376 | Sheila Mays | Social Worker | 2905 Brownsboro Vista Dr, Louisville, KY 40242-2965 | 2014-10-08 |
| 1558770032 | Judy Poiry Gradl | Occupational Therapist | 8407 Bayou Way, Louisville, KY 40242-3003 | 2014-08-08 |
| Find all providers in zip 40242 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343566 | Parkwest Medical Center | Psychiatric Hospital | 2347 Jones Bend Rd, Louisville, TN 37777-5213 | 2005-11-16 |
| 1366447609 | Central State Hospital | Psychiatric Hospital | 10510 Lagrange Rd, Louisville, KY 40223-1277 | 2005-06-14 |
| 1275953754 | Tbd Acquisition, LLC | Psychiatric Hospital | 1405 Browns Ln, Louisville, KY 40207-4608 | 2014-04-23 |
| 1760623888 | Uhs of Centennial Peaks LLC | Psychiatric Hospital | 2255 S 88th St, Louisville, CO 80027-9716 | 2009-03-19 |
| 1417167131 | Caritas Peace Center | Psychiatric Hospital | 2020 Newburg Rd, Louisville, KY 40205-1803 | 2007-05-23 |
| 1124237375 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Hospital | 2020 Newburg Rd, Louisville, KY 40205-1803 | 2007-05-22 |
| 1407972615 | Flatirons Behavioral Health | Psychiatric Hospital | 2255 S 88th St, Louisville, CO 80027-9716 | 2007-03-21 |
| 1447350160 | Diamond Grove Center | Psychiatric Hospital | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-09-23 |
| 1265530034 | Central State Hospital Pharmacy | Psychiatric Hospital | 10510 Lagrange Rd, Louisville, KY 40223-1277 | 2006-09-20 |
| 1588601991 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Hospital | 1850 Bluegrass Ave, Louisville, KY 40215-1161 | 2006-06-02 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40242 |
Please comment or provide details below to improve the information on KMI ACQUISITION LLC.
| 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.