NPIMap

Organization Active NPI

Brentwood Acquisition Inc

  • Psychiatric Hospital
  • Flowood, MS
National Provider Identifier
1487638441
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
32-330 Issued in MS
Legal business name
BRENTWOOD ACQUISITION INC
Practice address
3531 Lakeland Dr
Flowood, MS 39232-8016
Phone
(601) 936-2024
Fax
(601) 936-7818
NPI assigned
Dec 2, 2005
Last updated
Feb 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 32-330 MS Primary

Addresses

Primary practice location

3531 Lakeland Dr
Flowood, MS 39232-8016

Mailing address

3531 Lakeland Dr
Flowood, MS 39232-8016
Phone (601) 936-2024

Other identifiers 2

IdentifierTypeStateIssuer
000020855OtherMSBLUE CROSS PROVIDER NUMBE
00220625MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040603001016 MS Part A Provider - Hospital 9133101074 Practice locations: Flowood, MS
O20040819001052 MS Part B Supplier - Clinic/Group Practice 9133101074 Receives reassigned benefits from 15 practitioners
Practice locations: Flowood, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487638441. Details of each certification follow.

Hospital certification: CCN 254007

Legal name
BRENTWOOD ACQUISITION INC
Doing business as
BRENTWOOD BEHAVIORAL HEALTHCARE OF MISSISSIPPI
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 10, 2001
Last certification
Dec 20, 2007
Beds
1,231 (107 certified)
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 1, 2004 (1 total)
Organization structure
CorporationProprietary
Incorporated
Jan 30, 2004 in TN
Enrollment address
3531 Lakeland Dr
Flowood, MS 39232-8839
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Brentwood Behavioral Healthcare of MsCCN 254007 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Brentwood Acquisition Pharmacy3 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.

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
Alison G Land Individual Contracted Managing EmployeeCeo May 2, 2022
Corporate OfficerCeo May 2, 2022
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 Mar 1, 2004 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024
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%
Nigel Jones Individual Contracted Managing EmployeeCfo May 1, 2024
Corporate OfficerCfo May 1, 2024
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%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Nov 15, 2010 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation 5% Or Greater Direct Ownership Interest Nov 15, 2010
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, Management services company, Chain home office Operational/Managerial Control Nov 15, 2010 100%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2004 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman of the Board Mar 25, 2022 86.5%

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 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1487638441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328016",
            "telephone_number": "601-936-2024",
            "fax_number": "601-936-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328016",
            "telephone_number": "601-936-2024",
            "fax_number": "601-936-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD ACQUISITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-02-23",
        "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": "MS",
            "license": "32-330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "000020855",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220625",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.