NPIMap

Organization Active NPI

Uspiritus-Brooklawn-Steil

  • Psychiatric Residential Treatment Facility
  • Louisville, KY
National Provider Identifier
1740554864
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
USPIRITUS-BROOKLAWN-STEIL
Practice address
3100 Brooklawn Campus Dr
Louisville, KY 40218
Phone
(502) 451-5177
Fax
(502) 451-0896
NPI assigned
Mar 7, 2012
Last updated
Nov 5, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
USPIRITUS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Mary Kate O'Leary
Title
President, Ceo
Phone
(502) 451-5177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X KY Primary

Addresses

Primary practice location

3100 Brooklawn Campus Dr
Louisville, KY 40218

Mailing address

3121 Brooklawn Campus Dr
Louisville, KY 40218-1282
Phone (502) 451-5177

Other identifiers 1

IdentifierTypeStateIssuer
7100254620MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740554864. Details of each certification follow.

  • CCN 18L032 Psychiatric residential treatment facility · Active · Name & address match · Details

Psychiatric residential treatment facility certification: CCN 18L032

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
USPIRITUS-BROOKLAWN-STEIL
Certification status
Active
Provider type (POS)
Psychiatric residential treatment facility
Participating since
Jun 8, 2012
Last certification
May 17, 2017
Beds
9
Ownership / control type
Government – state
Facility address
3100 Brooklawn Campus Drive
Louisville, KY 40218

National Provider Directory

National Provider Directory
Tax ID family
Uspiritus- Brooklawn- Magnolia9 organizations share this tax ID, including this one
Part of
Uspiritus- Brooklawn- Magnolia

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1740554864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 BROOKLAWN CAMPUS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181282",
            "telephone_number": "502-451-5177",
            "fax_number": "502-451-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROOKLAWN CAMPUS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40218",
            "telephone_number": "502-451-5177",
            "fax_number": "502-451-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USPIRITUS-BROOKLAWN-STEIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USPIRITUS, INC.",
        "enumeration_date": "2012-03-07",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "502-451-5177"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100254620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.