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KMI ACQUISITION LLC NPI 1104097021


NPI Information

NPI: 1104097021
Provider Name: KMI ACQUISITION LLC

Doing Business As: THE BROOK HOSPITAL KMI

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
8521 LAGRANGE RD
LOUISVILLE, KY
ZIP 40242
Phone: (502) 426-6380
Get Directions

KMI ACQUISITION LLC is a psychiatric hospital in Louisville, KY. The provider is 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. KMI ACQUISITION LLC NPI is 1104097021. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Brook Hospital Kmi.

The provider's business location address is:

8521 LAGRANGE RD
LOUISVILLE, KY
ZIP 40242-800
Phone: (502) 426-6380
Fax: (502) 814-3711

The provider's authorized official is Steve Filton .
The authorized official title is Vice President and has the following contact phone number (610) 768-3300.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 5/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiology00616002KENTUCKYNo
2323P00000XPsychiatric Residential Treatment Facility100241KENTUCKYNo
3324500000XSubstance Abuse Rehabilitation Facility810229KENTUCKYNo
4283Q00000XPsychiatric Hospital100241KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13534130000OTHERKENTUCKYPASSPORT ADVANTAGE
2000000556016OTHERKENTUCKYANTHEM
3008618000OTHERKENTUCKYMAGELLAN BEHAVIORAL HEALT
4200910090AMEDICAIDINDIANA
57100036170MEDICAIDKENTUCKY
67100029460MEDICAIDKENTUCKY
72361377MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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