Brain Spine Ortho Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BRAIN SPINE ORTHO HOME CARE, LLC

Practice address

4004 Commercial Blvd Ste 201
Cincinnati, OH 45245-2900

Phone

(513) 600-7504

Fax

(888) 342-2302

NPI assigned

Jan 17, 2024

Last updated

Aug 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert A Maly, PTNPI 1205834462

Title

Director of Operations

Phone

(513) 600-7504

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982465928. Details of each certification follow.

• CCN 369390 Home health agency · Active · Details

Home health agency certification: CCN 369390

Legal name

BRAIN SPINE ORTHO HOME CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 7, 2025

Last certification

Dec 19, 2024

Organization structure

PartnershipProprietary

Enrollment address

4004 Commercial Blvd
Ste 201
Cincinnati, OH 45245-2900
HHA Branch

Listed as

Brain Spine Ortho Home Care LLCCCN 369390 · All quality measures

Ownership

-

Certified

Jan 7, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

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

• Lisa M Cleveland, PT

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1487653234

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 2

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.

• Robert Andrew Maly, PT

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1205834462
  NPD Authorized official
• Marc Christopher Brewer, PT

  • Physical Therapist
  • Cincinnati, OH
  • NPI 1396743134
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Robert Kulwin, M.D.

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
  • NPI 1740692359

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1982465928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 COMMERCIAL BLVD STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452900",
            "telephone_number": "513-655-4700",
            "fax_number": "888-342-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 COMMERCIAL BLVD STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452900",
            "telephone_number": "513-600-7504",
            "fax_number": "888-342-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN SPINE ORTHO HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "MALY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "513-600-7504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana B Brafman, O.D.
• Julie Bragg, OT
• Anantha Lakshmi Brahmamdam, MD
• Ranga S Brahmamdam, M.D.
• Magen Anastasia Brailey, PA
• Shanon M Brakefield
• Susan E. Braley, MD
• Toni Brame
• Melonie L Bramel, NP
• Kristin Stanley Bramlage, M.D.

• Home Health Agency in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.