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).
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. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518455302 | Pax House Inc. | Clinic/Center | 2052 Lake Ave Ste F, Altadena, CA 91001 | 2018-04-26 |
Street Address |
2305 HURSTBOURNE VILLAGE DR STE 600 |
City | LOUISVILLE |
State | KY |
Zip Code | 40299-2875 |
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 |
1669984209 | Bluegrass Allergy Asthma and Immunology Psc | Internal Medicine | 11900 Plantside Dr Ste 9, Louisville, KY 40299 | 2017-11-03 |
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 |
Find all providers in zip 40299 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1063999761 | Landmark Recovery Outpatient Services LLC | Clinic/Center | 4112 Fern Valley Rd Ste B, Louisville, KY 40219-1973 | 2018-07-25 |
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1053934836 | Roaring Brook LLC | Clinic/Center | 600 Perimeter Dr Ste 125, Lexington, KY 40517-4296 | 2020-05-27 |
1902442585 | Lake Cumberland Recovery, Inc | Clinic/Center | 8294 S Highway 27, Burnside, KY 42519-9412 | 2019-11-19 |
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 |
Find all providers with the same taxonomy |
City | LOUISVILLE |
Zip Code | 40299 |
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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.