RIVERBEND BEHAVIORAL HEALTH, LLC (NPI# 1215467006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215467006 |
| Entity Type | Organization |
| Organization Name | RIVERBEND BEHAVIORAL HEALTH, LLC |
| Practice Address |
701 N Niles Ave South Bend IN 46617-1923 |
| Practice Telephone | 5743185684 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Authorized Official Name | LEANNE SARGENT-SUAREZ (OWNER) |
| Authorized Official Telephone | 5743185684 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366965485 | Riverbend Behavioral Health, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 701 N Niles Ave, South Bend, IN 46617-1923 | 2017-07-20 |
| Street Address |
701 N NILES AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437289469 | Randy Nims | Counselor | 701 N Niles Ave, South Bend, IN 46617-1923 | 2007-03-07 |
| 1659842490 | South Bend Behavioral Health LLC | Clinic/Center | 701 N Niles Ave, South Bend, IN 46617-1923 | 2018-12-05 |
| 1447753801 | Carrie Curtis | Behavior Technician | 701 N Niles Ave, South Bend, IN 46617-1923 | 2018-03-13 |
| 1366965485 | Riverbend Behavioral Health, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 701 N Niles Ave, South Bend, IN 46617-1923 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093954950 | Community Health Partners of South Bend, Inc. | Clinic/Center | 1010 N Bendix Dr, South Bend, IN 46628-1925 | 2009-02-16 |
| 1538257167 | The South Bend Clinic LLP | Clinic/Center | 211 N Eddy St, South Bend, IN 46617-2808 | 2006-10-10 |
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| 1518528579 | Johnson Nichols Health Clinic, Inc. | Clinic/Center | 390 Erie Ave Ste A, Connersville, IN 47331-3177 | 2019-06-21 |
| 1932677291 | Pure Life Clinic LLC | Clinic/Center | 4725 Statesmen Dr Ste B, Indianapolis, IN 46250-5645 | 2018-11-05 |
| 1417479247 | Crown Radiology Associates | Clinic/Center | 5363 Commerce Blvd Ste A, Crown Point, IN 46307-5325 | 2017-07-13 |
| 1346634946 | Healthworks Med Group of Indiana P C | Clinic/Center | 6620 Network Way, Indianapolis, IN 46278-1686 | 2015-03-23 |
| 1477970440 | American Health Network of Indiana, LLC | Clinic/Center | 2625 N Morton St, Kyb Health and Wellness Clinic, Franklin, IN 46131-8820 | 2014-03-27 |
| 1952626715 | K & D Medical Services | Clinic/Center | 425 Joliet St Ste 125, Dyer, IN 46311-1775 | 2010-04-05 |
| 1407179559 | Forensic Nursing Specialties, Inc | Clinic/Center | 2270 Lake Ave, Suite 201, Fort Wayne, IN 46805-5359 | 2010-03-03 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on RIVERBEND BEHAVIORAL HEALTH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.