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Organization Active NPI

Uofl Health-Louisville, Inc.

  • Psychiatric Hospital Unit
  • Louisville, KY
National Provider Identifier
1760077697
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
UOFL HEALTH-LOUISVILLE, INC.
Practice address
220 Abraham Flexner Way FL 12
Louisville, KY 40202-3826
Phone
(502) 587-4011
NPI assigned
Mar 3, 2021
Organization subpart
Yes
Parent organization
UOFL HEALTH-LOUISVILLE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Thomas Daniel Miller
Title
Ceo
Phone
(502) 562-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

220 Abraham Flexner Way FL 12
Louisville, KY 40202-3826

Mailing address

200 Abraham Flexner Way
Louisville, KY 40202-2877

Other names 1

  • GEROPSYCH Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210517000869 KY Part A Provider - Hospital 6406289529 Practice locations: Louisville, KY

Hospital certification: CCN 18S040

Legal name
UOFL HEALTH-LOUISVILLE INC
Organization structure
CorporationNon-profit
Incorporated
Sep 19, 2019 in KY
Enrollment address
220 Abraham Flexner Way
FL 12
Louisville, KY 40202-3826
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

View all 22

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Uofl Health-Louisville Inc29 organizations share this tax ID, including this one
Part of
Uofl Health-Louisville Inc

Other organizations with this tax ID 28

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

View all 28

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Praveen V Arla Individual Corporate DirectorBoard Member Feb 26, 2020
Jeffrey M Stidam Individual Corporate DirectorBoard Member Feb 26, 2020
Kenneth P Marshall Individual Corporate OfficerCoo Jul 1, 2021
Jason W Smith Individual Corporate OfficerCeo Jul 1, 2025
Corporate DirectorCeo Jul 1, 2025
Uofl Health, Inc. Organization, Louisville, KY Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 19, 2019 100%
University of Louisville Organization, Louisville, KY Operational/Managerial Control Nov 1, 2019
Russell a Williams Individual Corporate DirectorBoard Member Feb 26, 2020
Arthur L Malkani Individual Corporate DirectorBoard Member Feb 26, 2020
Kirk Strack Individual Corporate OfficerCfo Jul 31, 2023
W-2 Managing EmployeeCfo Jul 1, 2025
Louis Waterman Individual Corporate DirectorBoard Member Feb 26, 2020
Richard a Schultz Individual Corporate DirectorBoard Member Feb 26, 2020
Gerald D Temes Individual Corporate DirectorBoard Member Feb 26, 2020
Louann N Atlas Individual Corporate DirectorBoard Member Feb 26, 2020
William Wagner Individual Corporate DirectorBoard Member Feb 26, 2020

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1760077697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ABRAHAM FLEXNER WAY FL 12",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023826",
            "telephone_number": "502-587-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UOFL HEALTH-LOUISVILLE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UOFL HEALTH-LOUISVILLE, INC.",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-562-4004"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEROPSYCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.