NPIMap

Organization Active NPI

Talbert House

  • Children's Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
National Provider Identifier
1124051362
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
TALBERT HOUSE
Practice address
1515 Carll St
Cincinnati, OH 45225-2012
Phone
(513) 244-3985
Fax
(513) 244-3989
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Mr. William D Hostler
Title
Chief Financial Officer
Phone
(513) 751-7747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

1515 Carll St
Cincinnati, OH 45225-2012

Mailing address

2600 Victory Pkwy
Cincinnati, OH 45206-1711
Phone (513) 751-7747

Other identifiers 1

IdentifierTypeStateIssuer
2490166MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060801000414 OH Part B Supplier - Clinic/Group Practice 1951314319 Receives reassigned benefits from 111 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cincinnati, OH; Wilmington, OH; Mt. Orab, OH; Mount Orab, OH; Lebanon, OH; Georgetown, OH; Franklin, OH

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1616 Harrison Ave
Cincinnati, OH 45214
Phone (513) 557-2500

3129 Spring Grove Ave
Cincinnati, OH 45225
Phone (513) 853-6930

3009 Burnet Ave
Cincinnati, OH 45219
Phone (513) 242-7164

204 Cook Rd
Ste 400
Lebanon, OH 45036

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1124051362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061711",
            "telephone_number": "513-751-7747",
            "fax_number": "513-751-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 CARLL ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452252012",
            "telephone_number": "513-244-3985",
            "fax_number": "513-244-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALBERT HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "HOSTLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "513-751-7747",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2490166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.