NPIMap

Organization Active NPI

Lswhb LLC

Doing business as ETHOS Care

  • Behavioral Neurology & Neuropsychiatry Physician
  • Milford, OH
National Provider Identifier
1407325939
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
LSWHB LLC
Doing business as
ETHOS Care
Practice address
675 Hobby Horse LN
Milford, OH 45150-1461
Phone
(513) 443-1700
Fax
(855) 919-6229
NPI assigned
Nov 14, 2018
Last updated
Feb 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Newell Del Crane, PHDNPI 1992269641
Title
President
Phone
(513) 404-9932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X NU Primary

Addresses

Primary practice location

675 Hobby Horse LN
Milford, OH 45150-1461

Mailing address

675 Hobby Horse LN
Milford, OH 45150-1461
Phone (513) 443-1700

Other names 1

  • ETHOS Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CT, IN, VA, ID5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20181231001294 OH Part B Supplier - Clinic/Group Practice 9638414204 Receives reassigned benefits from 17 practitioners
Practice locations: Milford, OH
O20220308002217 CT Part B Supplier - Clinic/Group Practice 9638414204 Receives reassigned benefits from 19 practitioners
Practice locations: Glastonbury, CT; Newington, CT
O20220311000482 IN Part B Supplier - Clinic/Group Practice 9638414204 Receives reassigned benefits from 7 practitioners
Practice locations: Terre Haute, IN
O20220614000894 VA Part B Supplier - Clinic/Group Practice 9638414204 Receives reassigned benefits from 12 practitioners
Practice locations: Suffolk, VA
O20241104000141 ID Part B Supplier - Clinic/Group Practice 9638414204 Receives reassigned benefits from 1 practitioner
Practice locations: Post Falls, ID

National Provider Directory

National Provider Directory

Locations

290 Western Blvd
Glastonbury, CT 06033
Phone (860) 284-5263

320 Western Blvd
Ste 104
Glastonbury, CT 06033
Phone (860) 633-2487

141 Willard Ave
Newington, CT 06111
Phone (860) 666-5601

5818D Harbour View Blvd
Unit 250
Suffolk, VA 23435
Phone (513) 752-8000

Practitioners & affiliated clinicians

Practitioners 93

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.

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1407325939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 HOBBY HORSE LN",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501461",
            "telephone_number": "513-443-1700",
            "fax_number": "855-919-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 HOBBY HORSE LN",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501461",
            "telephone_number": "513-443-1700",
            "fax_number": "855-919-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSWHB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "NEWELL",
        "authorized_official_middle_name": "DEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-404-9932",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETHOS Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.