SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC (NPI# 1013962984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013962984 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC |
| Other Organization Name | SAINT JOSEPH REHABILITATION INSTITUTE |
| Practice Address |
60205 Bodnar Blvd Mishawaka IN 46544-9342 |
| Mailing Address |
5215 Holy Cross Parkway Mishawaka IN 46545-1469 |
| Practice Telephone | 5743358800 |
| Mailing Telephone | 5743355000 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | ALBERT GUTIERREZ (PRESIDENT CEO) |
| Authorized Official Telephone | 5743352354 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT JOSEPH REGIONAL MEDICAL CENTER SOUTH BEND CAMPUS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 06-005012-2 | IN | Hospital Units |
| Other Name | Type Code |
|---|---|
| Saint Joseph Rehabilitation Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474636 | Saint Joseph Regional Medical Center South Bend Campus Inc | Clinic/Center | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-07-15 |
| 1437369626 | Saint Joseph Regional Medical Center South Bend Campus Inc | Clinic/Center | 326 Chapin St, South Bend, IN 46601-2541 | 2007-05-23 |
| Street Address |
60205 BODNAR BLVD |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-9342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619317062 | Melanie Jane Shanks | Rehabilitation Unit | 4523 Fairlawn Pass, Fort Wayne, IN 46815-6039 | 2013-06-30 |
| 1609873124 | Indianapolis Osteopathic Hospital, Inc | Rehabilitation Unit | 3630 Guion Road, Indianapolis, IN 46222-1616 | 2005-06-30 |
| 1831554369 | La Porte Hospital Company LLC | Rehabilitation Unit | 1007 Lincolnway, La Porte, IN 46350-3201 | 2015-12-29 |
| 1417320979 | Indiana University Health Inc | Rehabilitation Unit | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2015-11-05 |
| 1558788927 | Laura Sanders | Rehabilitation Unit | 2339 S State Road 135, Greenwood, IN 46143-4800 | 2014-03-24 |
| 1811324775 | Progressivehealth of Indiana | Rehabilitation Unit | 150 N Rosenberger Ave, Evansville, IN 47712-6503 | 2013-10-08 |
| 1043579238 | St Vincent Hospital and Health Care Center Inc | Rehabilitation Unit | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2012-05-09 |
| 1225356389 | St. Vincent Health | Rehabilitation Unit | 8227 Northwest Blvd, Indianapolis, IN 46278-1387 | 2010-05-13 |
| 1528297207 | Cni Starke LLC | Rehabilitation Unit | 102 E Culver Rd, Knox, IN 46534-2216 | 2009-07-02 |
| 1962657379 | Knox Indiana Hospital Company LLC | Rehabilitation Unit | 102 E Culver Rd, Knox, IN 46534-2216 | 2008-11-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.