PAX HOUSE INC. NPI 1619450186

NPI Information

  • NPI: 1619450186
  • Provider Name: PAX HOUSE INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 2305 HURSTBOURNE VILLAGE DR STE 600
    LOUISVILLE, KY
    ZIP 40299
  • Phone: (626) 840-0111

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NPI Details

PAX HOUSE INC. is a rehabilitation and substance use disorder clinic center in Louisville, KY. PAX HOUSE INC. NPI is 1619450186. The provider is registered as an organization entity type.

The provider's business location address is:

2305 HURSTBOURNE VILLAGE DR STE 600
LOUISVILLE, KY
ZIP 40299-875
Phone: (626) 840-0111
Fax: (626) 270-4640

The provider's authorized official is Jordan T. Desimone .
The authorized official title is Program Director and has the following contact phone number (626) 808-0335.

The enumeration date for this NPI number is 9/11/2018 and was last updated on 9/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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