Assurance Health Cincinnati, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

07-7512 Issued in OH

Legal business name

ASSURANCE HEALTH CINCINNATI, LLC

Practice address

11690 Grooms Rd
Blue Ash, OH 45242-1412

Phone

(513) 469-7800

Fax

(513) 469-9800

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Kyle D Small

Title

Ceo

Phone

(317) 372-6611

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Assurance Health Wilmington Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Hospital certification: CCN 364056

Legal name

ASSURANCE HEALTH CINCINNATI LLC

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Jul 27, 2016

Last certification

Sep 26, 2019

Beds

28

Ownership / control type

Private (not for profit)

Organization structure

LLCProprietary

Enrollment address

11690 Grooms Rd
Blue Ash, OH 45242-1412
Other Hospital Practice Location

Hospital subgroups

Psychiatric

Listed as

Assurance Health Cincinnati LLCCCN 364056

Type

Psychiatric

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Assurance Health Hudson, LLC

  • Psychiatric Hospital
  • Hudson, OH
  • NPI 1861904625

  Assurance Health System LLC

  CMS ownership
• Assurance Health Toledo LLC

  • Psychiatric Hospital
  • Sylvania, OH
  • NPI 1477170439

  Assurance Health System LLC

  CMS ownership
• Anew Health LLC

  • Psychiatric Hospital
  • Shawnee, KS
  • NPI 1831719772

  Assurance Health System LLC

  CMS ownership
• Assurance Health Indianapolis, LLC

  • Psychiatric Hospital
  • Indianapolis, IN
  • NPI 1811347651

  Assurance Health System LLC

  CMS ownership

Practitioners 2

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

• Asad E Ismail, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Louisville, KY
  • NPI 1144227026
  NPD (past)
• Renu Kotwal, MD

  • Psychiatry Physician
  • Erlanger, KY
  • NPI 1689788747
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1710360474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11690 GROOMS RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421412",
            "telephone_number": "765-374-6044",
            "fax_number": "765-374-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11690 GROOMS RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421412",
            "telephone_number": "513-469-7800",
            "fax_number": "513-469-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 W Main St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "OH",
            "postal_code": "451772125",
            "country_code": "US",
            "telephone_number": "513-985-4840",
            "fax_number": "513-985-4845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSURANCE HEALTH CINCINNATI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-372-6611"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "OH",
            "license": "07-7512",
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "OH",
            "license": "07-7517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "07-7512",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WILMINGTON STATE LICENSE NUMBER",
            "identifier": "75-7517",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193925",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assurance Health Wilmington",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer J. Archable, LPC
• Colby Argo, MD
• Nicole Casey Armstrong, DMD
• Laura Asay, OTR/L
• Renee L Ash, DPM
• Assurance Health Clarksville LLC
• At Home Senior Concierge Services LLC
• Michelle Atkins
• Nicole Atkins
• Margaret Ranney Atterbury, MD MPH

• Psychiatric Hospital in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Psychiatric Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.