SOUTH BEND BEHAVIORAL HEALTH LLC – NPI #1659842490
Clinic/Center

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

SOUTH BEND BEHAVIORAL HEALTH LLC is an AHC clinic located in SOUTH BEND, IN. NPPES has assigned the NPI number 1659842490 to SOUTH BEND BEHAVIORAL HEALTH LLC on December 05, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH BEND BEHAVIORAL HEALTH LLC below.

NPI Profile for
SOUTH BEND BEHAVIORAL HEALTH LLC

NPI Number
1659842490
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH BEND BEHAVIORAL HEALTH LLC
Primary location
701 N NILES AVE
SOUTH BEND, IN 46617-1923
Phone: (843) 609-5885 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSHUA SMITH
CEO
Phone: (843) 609-5885
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.