Active NPI
Kmi Acquisition LLC
- Psychiatric Hospital
- Louisville, KY
National Provider Identifier
1972598050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 100241
- Legal business name
- KMI ACQUISITION LLC
- Practice address
- 8521 Lagrange Rd
Louisville, KY 40242-3800 - Phone
- (502) 426-6380
- Fax
- (502) 814-3711
- NPI assigned
- Sep 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Filton
- Title
- Sr VP Cfo
- Phone
- (610) 768-3300
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25460 | KY | |
| Psychiatric Hospital | 283Q00000X | 100241 | KY | Primary |
| Psychiatric Residential Treatment Facility | 323P00000X | 100241 | KY | |
| Substance Abuse Rehabilitation Facility | 324500000X | 810229 | KY |
Addresses
Primary practice location
8521 Lagrange Rd
Louisville, KY 40242-3800
Mailing address
8521 Lagrange Rd
Louisville, KY 40242-3800
Phone (502) 426-6380
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000054468 | Other | KY | BC/BS PROVIDER NUMBER |
| 100038830A | Medicaid | IN | |
| 2685173000 | Medicaid | KY | |
| 008618000 | Other | KY | MAGELLAN BEHAVIORAL HEALT |
| 02021210 | Medicaid | KY | |
| 2361377 | Medicaid | OH | |
| 45027190 | Medicaid | KY | |
| 000000321602 | Other | KY | ANTHEM PROFESSIONAL |
| 50005909 | Medicaid | KY |
Other names 1
- The Brook Hospital KMI
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1972598050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8521 LAGRANGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402423800",
"telephone_number": "502-426-6380",
"fax_number": "502-814-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8521 LAGRANGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402423800",
"telephone_number": "502-426-6380",
"fax_number": "502-814-3711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMI ACQUISITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-15",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "FILTON",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "SR VP CFO",
"authorized_official_telephone_number": "610-768-3300"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": "25460",
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "KY",
"license": "100241",
"primary": true
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "KY",
"license": "100241",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "KY",
"license": "810229",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "000000054468",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100038830A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2685173000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "008618000",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02021210",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2361377",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45027190",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROFESSIONAL",
"identifier": "000000321602",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50005909",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Brook Hospital KMI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.