NPIMap

Organization Active NPI

Uofl Health-Louisville Inc

  • Rehabilitation Hospital
  • Louisville, KY
National Provider Identifier
1154965630
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
UOFL HEALTH-LOUISVILLE INC
Practice address
220 Abraham Flexner Way
Louisville, KY 40202-3826
Phone
(502) 582-7400
NPI assigned
Oct 29, 2019
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UOFL HEALTH-LOUISVILLE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Thomas Daniel Miller
Title
Ceo
Phone
(502) 562-4004

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU
General Acute Care Hospital 282N00000X NU
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

220 Abraham Flexner Way
Louisville, KY 40202-3826

Mailing address

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 562-4004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191210003415 KY Part A Provider - Hospital 6406289529 Practice locations: Louisville, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154965630. Details of each certification follow.

Hospital certification: CCN 18T040

Legal name
UOFL HEALTH-LOUISVILLE INC
Doing business as
FRAZIER REHAB INSTITUTE
Organization structure
CorporationNon-profit
Incorporated
Sep 19, 2019 in KY
Enrollment address
220 Abraham Flexner Way
Louisville, KY 40202-3826
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

View all 22

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Frazier Rehab InstituteCCN 18T040 · All quality measures
Ownership
Non-profit
Certified
Sep 11, 2017

National Provider Directory

National Provider Directory
Tax ID family
Uofl Health-Louisville Inc29 organizations share this tax ID, including this one
Part of
Uofl Health-Louisville Inc

Other organizations with this tax ID 28

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

View all 28

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Praveen V Arla Individual Corporate DirectorBoard Member Feb 26, 2020
Jeffrey M Stidam Individual Corporate DirectorBoard Member Feb 26, 2020
Kenneth P Marshall Individual Corporate OfficerCoo Nov 1, 2019
Jason W Smith Individual Corporate OfficerCeo Jul 1, 2025
Corporate DirectorCeo Jul 1, 2025
Uofl Health, Inc. Organization, Louisville, KY Non-profit 5% Or Greater Direct Ownership Interest Sep 19, 2019 100%
University of Louisville Organization, Louisville, KY Operational/Managerial Control Nov 1, 2019
Russell a Williams Individual Corporate DirectorBoard Member Feb 26, 2020
Arthur L Malkani Individual Corporate DirectorBoard Member Feb 26, 2020
Kirk Strack Individual Corporate OfficerCfo Jul 31, 2023
W-2 Managing EmployeeCfo Jul 1, 2025
Louis Waterman Individual Corporate DirectorBoard Member Feb 26, 2020
Richard a Schultz Individual Corporate DirectorBoard Member Feb 26, 2020
Gerald D Temes Individual Corporate DirectorBoard Member Feb 26, 2020
Louann N Atlas Individual Corporate DirectorBoard Member Feb 26, 2020
William Wagner Individual Corporate DirectorBoard Member Feb 26, 2020

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 19

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1154965630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-562-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023826",
            "telephone_number": "502-582-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UOFL HEALTH-LOUISVILLE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UOFL HEALTH-LOUISVILLE INC",
        "enumeration_date": "2019-10-29",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-562-4004"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.