Organization Active NPI

Riverbend Behavioral Health, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • South Bend, IN
National Provider Identifier
1366965485
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
RIVERBEND BEHAVIORAL HEALTH, LLC
Practice address
701 N Niles Ave
South Bend, IN 46617-1923
Phone
(574) 318-5684
NPI assigned
Jul 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Authorized official

Name
Leanne Denise Sargent-Suarez
Title
Director of Education
Phone
(574) 318-5684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

701 N Niles Ave
South Bend, IN 46617-1923

Mailing address

701 N Niles Ave
South Bend, IN 46617-1923

National Provider Directory

National Provider Directory
Tax ID family
Riverbend Behavioral Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1366965485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171923",
            "telephone_number": "574-318-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "SARGENT-SUAREZ",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "DIRECTOR OF EDUCATION",
        "authorized_official_telephone_number": "574-318-5684"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.