NPIMap

Organization Active NPI

Carebridge Palliative Services Inc.

  • Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
  • Cincinnati, OH
National Provider Identifier
1831423334
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084H0002X
License
1852107 Issued in OH
Legal business name
CAREBRIDGE PALLIATIVE SERVICES INC.
Practice address
7625 Camargo Rd
Suite 200
Cincinnati, OH 45243-3107
Phone
(513) 528-8150
Fax
(513) 528-8151
NPI assigned
Sep 30, 2009
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Mr. Joseph Killian
Title
Ceo
Phone
(513) 528-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084H0002X 1852107 OH Primary

Addresses

Primary practice location

7625 Camargo Rd
Suite 200
Cincinnati, OH 45243-3107

Mailing address

7625 Camargo Rd
Suite 200
Cincinnati, OH 45243-3107
Phone (513) 528-8150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100119000176 OH Part B Supplier - Clinic/Group Practice 0446392138 Receives reassigned benefits from 23 practitioners

National Provider Directory

National Provider Directory
Tax ID family
Carebridge Palliative Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1010 Cereal Ave
Ste 305
Hamilton, OH 45013
Phone (513) 528-8150

1371 Main St
Hamilton, OH 45013
Phone (513) 785-4800

4000 Miamisburg Centerville Rd
Ste 207
Miamisburg, OH 45342
Phone (937) 560-2011

7200 Heritagespring Dr
West Chester, OH 45069
Phone (513) 342-1966

7593 Tylers Place Blvd
West Chester, OH 45069
Phone (513) 644-2277

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1831423334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 CAMARGO RD",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433107",
            "telephone_number": "513-528-8150",
            "fax_number": "513-528-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 CAMARGO RD",
            "address_2": "SUITE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452433107",
            "telephone_number": "513-528-8150",
            "fax_number": "513-528-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREBRIDGE PALLIATIVE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-528-8150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084H0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "OH",
            "license": "1852107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.