Active NPI
C Micah Rand
- Assisted Living Facility
- Cincinnati, OH
National Provider Identifier
1497327779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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 COMMUNITY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497327779 | Other | OH | NPI |
| 3089456 | Medicaid | OH |
Other names 1
- Brookwood Assisted Living
National Provider Directory
National Provider Directory- Tax ID family
- C Micah Rand
- 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.
-
- Skilled Nursing Facility
- Cincinnati, OH
- NPI 1821070954
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.