PAX HOUSE INC.


Address: 2305 Hurstbourne Village Dr Ste 600, Louisville, KY 40299-2875
Phone: 6268400111

PAX HOUSE INC. (NPI# 1619450186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619450186
Entity Type Organization
Organization Name PAX HOUSE INC.
Practice Address 2305 Hurstbourne Village Dr Ste 600
Louisville
KY 40299-2875
Practice Telephone 6268400111
Practice Fax Number 6262704640
Mailing Telephone 6268400111
Mailing Fax Number 6262704640
Enumeration Date 2018-09-11
Last Update Date 2018-09-11
Authorized Official Name MR. JORDAN T. DESIMONE (PROGRAM DIRECTOR)
Authorized Official Telephone 6268080335
Authorized Official Credential CADC-CAS
Is Organization Subpart Y
Parent Organization Name PAX HOUSE INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518455302 Pax House Inc. Clinic/Center 2052 Lake Ave Ste F, Altadena, CA 91001 2018-04-26

Office Location

Street Address 2305 HURSTBOURNE VILLAGE DR STE 600
City LOUISVILLE
State KY
Zip Code 40299-2875

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477050144 Jolanta Staniszewska Social Worker 1700 Cargo St, Louisville, KY 40299 2018-04-10
1780192302 Chris Mcclain Pharmacist 1901 Campus Place, Suite 100, Louisville, KY 40299 2018-01-17
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1588182109 Hollie Marie Wheeler Speech-Language Pathologist Paragon Rehabilitation 2701 Chesnut Station Court, Louisville, KY 40299 2017-09-04
1790206464 Farrah Hill Rodgers Occupational Therapy Assistant 2701 Chestnut Station Court., Paragon Rehabilitation, Louisville, KY 40299 2017-07-03
1871972620 Jag Medical LLC Pharmacy 9813 Merioneth Dr, Louisville, KY 40299 2015-05-27
1023496205 Scotty Ray Newcomer Family Medicine 8511 Watterson Trl, Louisville, KY 40299 2015-05-08
1386048262 Daniel Gerhard Eschenbach Dentist 12613 Taylorsville Rd., Suite #17, Louisville, KY 40299 2014-10-21
1740616192 Alyse C Martin Nurse Practitioner 9569 Taylorsville Road Suite 109, Louisville, KY 40299 2013-09-17
1407104128 Tammy Rowland Reddington Nurse Practitioner 4004 Hurstbroune Woods Drive, Louisville, KY 40299 2012-08-28
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1194295089 Freedom Bridge To Recovery LLC Clinic/Center 1307 Magnolia St, Bowling Green, KY 42104-3050 2018-12-04
1144723453 Rose of Sharon House Clinic/Center 865 W Shelby St, Junction City, KY 40440-8502 2018-03-13
1477062487 New Legacy Recovery LLC Clinic/Center 1510 Newtown Pike Ste 120, Lexington, KY 40511-1255 2017-09-21
1710426960 The Liberty Ranch Rehabilitation Center Clinic/Center 2735 Ky Highway 501, Kings Mountain, KY 40442-9761 2017-02-21
1114389822 Pinnacle Treatment Centers Ky-i, LLC Clinic/Center 100 E Broadway # 105-107, Mayfield, KY 42066-2329 2016-03-22
1306215470 Stepworks Recovery Centers LLC Clinic/Center 210 Malabu Dr Ste 200, Lexington, KY 40502-3215 2015-09-18
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Competitor

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City LOUISVILLE
Zip Code 40299

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Dataset Information

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.

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