CSL Riverbend in LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSL RIVERBEND IN LLC

Practice address

2715 Charlestown Pike
Jeffersonville, IN 47130-8163

Phone

(812) 280-0965

NPI assigned

Jul 26, 2012

Organization subpart

No

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

Authorized official

Name

Dawn Mount

Title

VP of Operations

Phone

(972) 308-8338

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1942556097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14755 PRESTON RD STE 810",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546815",
            "telephone_number": "972-770-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 CHARLESTOWN PIKE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308163",
            "telephone_number": "812-280-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL RIVERBEND IN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "MOUNT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "972-308-8338"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201038030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.