NPIMap

Organization Active NPI

TBD Acquisition LLC

Doing business as Ten Broeck Dupont

  • Psychiatric Hospital
  • Louisville, KY
National Provider Identifier
1013188937
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
TBD ACQUISITION LLC
Doing business as
Ten Broeck Dupont
The Brook Hospital - Dupont
Practice address
1405 Browns LN
Louisville, KY 40207-4608
Phone
(502) 896-0495
NPI assigned
Mar 19, 2008
Last updated
Oct 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 768-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X KY Primary
Psychiatric Residential Treatment Facility 323P00000X KY

Addresses

Primary practice location

1405 Browns LN
Louisville, KY 40207-4608

Mailing address

1405 Browns LN
Louisville, KY 40207-4608
Phone (502) 896-0495

Other identifiers 3

IdentifierTypeStateIssuer
45000221MedicaidKY
200287050AMedicaidIN
7100029470MedicaidKY

Other names 2

  • Ten Broeck Dupont Doing business as
  • The Brook Hospital - Dupont Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080415000180 KY Part A Provider - Hospital 7911085006 Practice locations: Louisville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013188937. Details of each certification follow.

Hospital certification: CCN 184007

Legal name
TBD ACQUISITION LLC
Doing business as
THE BROOK HOSPITAL - DUPONT
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 11, 1980
Last certification
Sep 15, 2010
Beds
94
Ownership / control type
Private (not for profit)
Most recent change of ownership
Mar 1, 2008 (5 total)
Organization structure
LLCProprietary
Incorporated
Jun 13, 2006 in DE
Enrollment address
1405 Browns LN
Louisville, KY 40207-4608
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
The Brook Hospital - DupontCCN 184007 · All quality measures
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
TBD Acquisition LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • OH PPO

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George H Brunner Individual Corporate OfficerAssistant Secretary Nov 15, 2010 100%
Psychiatric Solutions Hospitals LLC Organization, King of Prussia, PA LLC 5% Or Greater Direct Ownership Interest Jun 13, 2006 100%
Tammy M Herrmann Individual Contracted Managing EmployeeCfo Nov 15, 2010 100%
Corporate OfficerCfo Nov 15, 2010 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Nov 15, 2010 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVice President Nov 15, 2010 100%
Corporate DirectorVice President Nov 15, 2010 33.3%
Operational/Managerial ControlVice President Nov 15, 2010 100%
Shane C Koch Individual Contracted Managing EmployeeCeo Oct 11, 2021
Corporate OfficerCeo Oct 11, 2021
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Nov 15, 2010 50%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation Operational/Managerial Control Nov 15, 2010 100%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Jun 13, 2006 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 18, 2024 87.4%

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1013188937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 BROWNS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074608",
            "telephone_number": "502-896-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 BROWNS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074608",
            "telephone_number": "502-896-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBD ACQUISITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45000221",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200287050A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100029470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ten Broeck Dupont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Brook Hospital - Dupont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.