Organization Active NPI

C Micah Rand

  • Assisted Living Facility
  • Cincinnati, OH
National Provider Identifier
1497327779
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
C MICAH RAND
Practice address
12100 Reed Hartman Hwy
Cincinnati, OH 45241-6071
Phone
(513) 605-2713
NPI assigned
Jul 15, 2021
Organization subpart
Yes
Parent organization
BROOKWOOD RETIREMENT COMMUNITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Edward Allan Acheson
Title
Cfo
Phone
(513) 605-2702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12100 Reed Hartman Hwy
Cincinnati, OH 45241-6071

Mailing address

12500 Reed Hartman Hwy Ste 200
Cincinnati, OH 45241-1951
Phone (513) 605-2713

Other identifiers 2

IdentifierTypeStateIssuer
1497327779OtherOHNPI
3089456MedicaidOH

Other names 1

  • Brookwood Assisted Living Other name

National Provider Directory

National Provider Directory
Tax ID family
C Micah Rand2 organizations share this tax ID, including this one
Part of
C Micah Rand

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1497327779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 REED HARTMAN HWY STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411951",
            "telephone_number": "513-605-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 REED HARTMAN HWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452416071",
            "telephone_number": "513-605-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C MICAH RAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKWOOD RETIREMENT COMMUNITY",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "ACHESON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-605-2702"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497327779",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089456",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookwood Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.