KMI ACQUISITION LLC NPI 1972598050

NPI Information

NPI: 1972598050
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 1972598050. The provider is registered as an organization entity type.
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 Sr Vp Cfo and has the following contact phone number (610) 768-3300.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 1/14/2014.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	323P00000X	Psychiatric Residential Treatment Facility	100241	KENTUCKY	No
2	174400000X	Specialist	25460	KENTUCKY	No
3	324500000X	Substance Abuse Rehabilitation Facility	810229	KENTUCKY	No
4	283Q00000X	Psychiatric Hospital	100241	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000321602	OTHER	KENTUCKY	ANTHEM PROFESSIONAL
2	02021210	MEDICAID	KENTUCKY
3	2685173000	MEDICAID	KENTUCKY
4	184008	MEDICARE PIN	KENTUCKY
5	7973	MEDICARE PIN	KENTUCKY
6	000000054468	OTHER	KENTUCKY	BC/BS PROVIDER NUMBER
7	008618000	OTHER	KENTUCKY	MAGELLAN BEHAVIORAL HEALT
8	=========	OTHER	KENTUCKY	TRICARE PROVIDER#
9	100038830A	MEDICAID	INDIANA
10	2361377	MEDICAID	OHIO
11	50005909	MEDICAID	KENTUCKY
12	45027190	MEDICAID	KENTUCKY
13	079302	MEDICARE PIN	KENTUCKY

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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