Organization Active NPI

Kush Inc.

Doing business as Kush Reaching Out Inc.

  • Community/Behavioral Health Agency
  • Cincinnati, OH
National Provider Identifier
1619725272
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KUSH INC.
Doing business as
Kush Reaching Out Inc.
Practice address
4595 Paddock Rd
Cincinnati, OH 45229-1131
Phone
(323) 270-2165
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Dr. Tiyrone WarrenNPI 1184464331
Title
Ceo
Phone
(323) 270-2165

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4595 Paddock Rd
Cincinnati, OH 45229-1131

Mailing address

250 Park Avenue West NW Unit 903
Atlanta, GA 30313-1607
Phone (323) 270-2165

Other practice location 1

1609 E 113th St
Los Angeles, CA 90059-1919
Phone (323) 270-2165

Other practice location 2

250 Park Avenue West NW Unit 903
Atlanta, GA 30313-1607
Phone (323) 270-2165

Other names 1

  • Kush Reaching Out Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1619725272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PARK AVENUE WEST NW UNIT 903",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303131607",
            "telephone_number": "323-270-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4595 PADDOCK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291131",
            "telephone_number": "323-270-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 E 113th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900591919",
            "country_code": "US",
            "telephone_number": "323-270-2165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Park Avenue West NW Unit 903",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303131607",
            "country_code": "US",
            "telephone_number": "323-270-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KUSH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TIYRONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-270-2165",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kush Reaching Out Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 8, 2024; 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.