NPIMap

Organization Active NPI

Insight Foundation of Trumbull

Doing business as Insight Hospital and Medical Center Trumbull

  • Psychiatric Hospital Unit
  • Warren, OH
National Provider Identifier
1770319451
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
INSIGHT FOUNDATION OF TRUMBULL
Doing business as
Insight Hospital and Medical Center Trumbull
Practice address
1350 E Market St
Warren, OH 44483-6608
Phone
(810) 275-9333
NPI assigned
Sep 10, 2024
Last updated
Dec 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
INSIGHT FOUNDATION OF TRUMBULLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Authorized official

Name
Robin Cole
Title
Director
Phone
(810) 275-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

1350 E Market St
Warren, OH 44483-6608

Mailing address

4800 S Saginaw St
Flint, MI 48507-2677
Phone (810) 275-9333

Other names 1

  • INSIGHT HOSPITAL AND MEDICAL CENTER TRUMBULL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250417003084 OH Part A Provider - Hospital 9830626779 Practice locations: Warren, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770319451. Details of each certification follow.

Hospital certification: CCN 36S055

Legal name
INSIGHT FOUNDATION OF TRUMBULL
Doing business as
INSIGHT HOSPITAL AND MEDICAL CENTER TRUMBULL
Organization structure
CorporationNon-profit
Enrollment address
1350 E Market St
Warren, OH 44483-6608
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Insight Foundation of Trumbull2 organizations share this tax ID, including this one
Part of
Insight Foundation of Trumbull

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Jawad Shah Individual Corporate DirectorChairman on the Board Oct 30, 2024
Baseer Tajuddin Individual Corporate OfficerSecretary Oct 30, 2024
Corporate DirectorDirector on the Board Oct 30, 2024
Firdaus Foundation Organization, Flint, MI Non-profit Operational/Managerial Control Oct 30, 2024
Robin Cole Individual W-2 Managing EmployeeAd; Oct 30, 2024
Atif Bawahab Individual Corporate OfficerPresident & Chief Executive Officer Oct 30, 2024
Corporate DirectorDirector on the Board Oct 30, 2024
Atiq Nakrawala Individual Corporate OfficerTreasurer Oct 30, 2024
Corporate DirectorDirector on the Board Oct 30, 2024
Mohammed Shah Akram Khan Individual W-2 Managing EmployeeDirector of Operations Oct 30, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735344000000",
    "number": "1770319451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "810-275-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608",
            "telephone_number": "810-275-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT FOUNDATION OF TRUMBULL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSIGHT FOUNDATION OF TRUMBULL",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "810-275-9333"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSIGHT HOSPITAL AND MEDICAL CENTER TRUMBULL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.