BRENTWOOD MEADOWS, LLC (NPI# 1457594830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457594830 |
Entity Type | Organization |
Organization Name | BRENTWOOD MEADOWS, LLC |
Other Organization Name | BRENTWOOD SPRINGS |
Practice Address |
4488 Roslin Rd Newburgh IN 47630-8590 |
Mailing Address |
101 S 5th St Suite 3850 Louisville KY 40202-3157 |
Practice Telephone | 8128587200 |
Mailing Telephone | 5024008484 |
Enumeration Date | 2009-04-14 |
Last Update Date | 2019-04-02 |
Authorized Official Name | MR. JOHN WALL (GENERAL COUNSEL) |
Authorized Official Telephone | 4124965959 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | IN | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200968000A | 05 |
Other Name | Type Code |
---|---|
Brentwood Springs | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508292582 | Brentwood Meadows, LLC | Clinical Nurse Specialist | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2013-09-23 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | BRENTWOOD MEADOWS, LLC | 10930 Main St, Donald, OR 97020 |
Street Address |
4488 ROSLIN RD |
City | NEWBURGH |
State | IN |
Zip Code | 47630-8590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518506898 | Elaine Lerner | Nurse Practitioner | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2020-01-03 |
1699261784 | Samantha Gray | Social Worker | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2018-07-02 |
1528479029 | Brentwood Meadows Physician Group LLC | Nurse Practitioner | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2014-05-19 |
1508292582 | Brentwood Meadows, LLC | Clinical Nurse Specialist | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2013-09-23 |
1518203918 | Institutional Pharmacy Solutions | Pharmacy | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2012-12-13 |
1235360058 | Michael Arisa | Psychiatry & Neurology | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2009-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
Find all providers in zip 47630 |
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 |
---|---|---|---|---|
1922614825 | Indiana Behavioral Innovations LLC | Psychiatric Hospital | 1051 Southfield Dr, Plainfield, IN 46168 | 2020-09-17 |
1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
1215310628 | Selah House, Inc | Psychiatric Hospital | 2541 Northshore Blvd, Anderson, IN 46011-9600 | 2015-07-02 |
1811337116 | Haven Behavioral Services of Indianapolis, LLC | Psychiatric Hospital | 6720 Parkdale Pl, Suite 100, Indianapolis, IN 46254-4668 | 2013-07-01 |
1477832772 | Sycamore Springs, LLC | Psychiatric Hospital | 833 Park East Blvd, Lafayette, IN 47905-0785 | 2011-08-04 |
1891966065 | Harsha Behavioral Center, Inc | Psychiatric Hospital | 1980 E Woodsmall Dr, Terre Haute, IN 47802-4937 | 2008-03-17 |
1699974568 | Selah House, Inc | Psychiatric Hospital | 1180 N. 300 East, Anderson, IN 46012 | 2007-07-12 |
1215058151 | Midwest Center for Youth & Families | Psychiatric Hospital | 1012 W Indiana St, Kouts, IN 46347-9703 | 2007-04-02 |
1124153911 | Options Treatment Acquisition Corporation | Psychiatric Hospital | 5602 Caito Dr, Indianapolis, IN 46226-1346 | 2007-02-22 |
1649345448 | Riverside Hospital Corporation | Psychiatric Hospital | 533 N Niles Ave, South Bend, IN 46617-1919 | 2006-11-21 |
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.