PHYSICIANS HOSPITAL, LLC (NPI# 1174710750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174710750 |
Entity Type | Organization |
Organization Name | PHYSICIANS HOSPITAL, LLC |
Practice Address |
1625 E Jefferson Blvd Mishawaka IN 46545-7103 |
Practice Telephone | 5742551400 |
Mailing Telephone | 5742551400 |
Enumeration Date | 2007-09-27 |
Last Update Date | 2009-01-13 |
Authorized Official Name | TAMMI MOORE (PROFESSIONAL SERVICE DIRECTOR) |
Authorized Official Telephone | 5745461911 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282E00000X | Long Term Care Hospital | 080056581 | IN | Hospitals |
Street Address |
1625 E JEFFERSON BLVD |
City | MISHAWAKA |
State | IN |
Zip Code | 46545-7103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255740189 | Rivercrest Specialty Hospital, LLC | Psychiatric Hospital | 1625 E Jefferson Blvd, Mishawaka, IN 46545-7103 | 2014-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
Find all providers in zip 46545 |
Taxonomy Code | 282E00000X |
Grouping | Hospitals |
Classification | Long Term Care Hospital |
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
Notes: Source: American Hospital Association [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316306178 | Select Specialty Hospital - Northern Indiana, LLC | Long Term Care Hospital | 215 W 4th St, 2nd Floor, Mishawaka, IN 46544-1917 | 2016-02-22 |
1194978940 | Scci Hospitals of America, LLC | Long Term Care Hospital | 215 W 4th St, Mishawaka, IN 46544 | 2008-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215341391 | Indiana University Health Inc. | Long Term Care Hospital | 550 University Blvd Rm 3145, Indianapolis, IN 46202-5149 | 2014-06-17 |
1336499599 | Gregg Scott Shepherd | Long Term Care Hospital | 1075 W Cr 300 North, New Castle, IN 47362 | 2012-09-14 |
1871613398 | Northern Indiana Health Care System | Long Term Care Hospital | 45 E Miller Rd, La Fontaine, IN 46940-9292 | 2007-03-29 |
1104991447 | Deanna Lynne Harrington | Long Term Care Hospital | 3025 W Sycamore St, Kokomo, IN 46901-4176 | 2006-11-22 |
1558446021 | Kindred Hospitals Limited Partnership | Long Term Care Hospital | 1700 W 10th St, Indianapolis, IN 46222-3802 | 2006-10-25 |
1417032996 | Transitional Hospitals Corporation of Indiana, Inc. | Long Term Care Hospital | 607 Greenwood Springs Drive, Greenwood, IN 46143-1407 | 2006-10-25 |
1114972502 | St. Vincent Seton Specialty Hospital, Inc. | Long Term Care Hospital | 8050 Township Line Road, Indianapolis, IN 46260-1902 | 2006-05-23 |
1063414886 | Regency Hospital of Northwest Indiana, LLC | Long Term Care Hospital | 4321 Fir St, 4th Floor, East Chicago, IN 46312-3049 | 2005-08-11 |
1720087620 | Select Specialty Hospital - Indianapolis Inc | Long Term Care Hospital | 898 E Main St, Greenwood, IN 46143-1407 | 2005-07-21 |
1104825140 | Select Specialty Hospital - Fort Wayne Inc | Long Term Care Hospital | 700 Broadway, 7th Fl East, Fort Wayne, IN 46802-1402 | 2005-07-20 |
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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.