Pax Riverbend LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PAX RIVERBEND LLC

Practice address

202 E Maple St
Jeffersonville, IN 47130-3420

Phone

(815) 250-5006

NPI assigned

Aug 28, 2019

Organization subpart

No

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

Authorized official

Name

Kim Brown

Title

Director of Compliance

Phone

(870) 243-7219

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TruHealing Riverbend Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lynn Gibo

  • Marriage & Family Therapist
  • Jeffersonville, IN
  • NPI 1700548419
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1154979615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10461 MILL RUN CIR STE 810",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E MAPLE ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303420",
            "telephone_number": "815-250-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX RIVERBEND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "870-243-7219"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300040555",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruHealing Riverbend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanjay N Patel, DC
• Sanjeev V Patwardhan, RPH.
• Alexandria M Paul, LMHCA
• Laikyn Pavey
• Pax Residential LLC
• Misti Paynter, LCSW
• Deanna R Pazzi, PHARM. D
• Pca Corrections LLC
• Peaceful Minds Clinical Service
• Lillian Pearce

• Substance Use Disorder Rehabilitation Clinic/Center in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.