CANCER CARE PARTNERS, LLC (NPI# 1265735674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265735674 |
| Entity Type | Organization |
| Organization Name | CANCER CARE PARTNERS, LLC |
| Other Organization Name | CCP |
| Practice Address |
301 E Day Rd Mishawaka IN 46545-3455 |
| Mailing Address |
Po Box 539 South Bend IN 46624-0539 |
| Practice Telephone | 5742047300 |
| Practice Fax Number | 5742047301 |
| Mailing Telephone | 5742047300 |
| Mailing Fax Number | 5742047301 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2011-04-27 |
| Authorized Official Name | MR. JOSEPH A GAGLIARDI SR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5742047300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | IN | Hospitals | |
| Y | 284300000X | Special Hospital | 110123871 | IN | Hospitals |
| Other Name | Type Code |
|---|---|
| CCP | Doing Business As Name - Organization |
| Street Address |
301 E DAY RD |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548250186 | Kathryn L Park | Physical Medicine & Rehabilitation | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2005-10-25 |
| 1174187553 | The South Bend Clinic LLP | Pharmacy | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2019-05-01 |
| 1972800068 | Cancer Care Partners LLC | Pharmacy | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2011-02-25 |
| 1164749552 | Yufeng Kevin Wu | Internal Medicine | 301 E Day Rd, Ste 200, Mishawaka, IN 46545-3455 | 2010-04-26 |
| 1134357213 | Sayuri Cheruvu | Internal Medicine | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2009-06-26 |
| 1558518720 | Michiana Dental Sleep, LLC. | Dentist | 301 E Day Rd, Suite 100, Mishawaka, IN 46545-3455 | 2008-08-19 |
| 1366604480 | Ellen Anne Szwed | Internal Medicine | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2008-06-30 |
| 1639266000 | Dawn R Case | Nurse Practitioner | 301 E Day Rd, Ste 200, Mishawaka, IN 46545 | 2006-10-06 |
| 1184663742 | Shamila Garg | Internal Medicine | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2006-06-06 |
| 1598748121 | Rebecca Susanne Rockers | Family Medicine | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2005-11-29 |
| Find all providers in the same location | ||||
| 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 | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316324403 | Indiana Spine Hospital, LLC | Special Hospital | 13219 N. Meridian St, Carmel, IN 46032-5480 | 2015-04-28 |
| 1437407848 | Michael T Sahm | Special Hospital | 3300 Prague Rd, Indianapolis, IN 46227-7010 | 2012-08-16 |
| 1538441340 | Walgreen | Special Hospital | 1835 Pemberton Ln, Indianapolis, IN 46260-1577 | 2011-09-16 |
| 1720374374 | O'hana Heritage Foundation Inc | Special Hospital | 53131 Quince Rd, South Bend, IN 46628-9691 | 2011-06-22 |
| 1538460191 | Indiana University Medical Center | Special Hospital | 927 Paca St, Indianapolis, IN 46202-2914 | 2010-11-12 |
| 1568629178 | Indiana University School of Medicine | Special Hospital | 4024 Eldor Flower Dr, Zionsville, IN 46077-8585 | 2008-05-21 |
| 1285822023 | Yu-fan Kelly | Special Hospital | 1481 W 10th St # 116p, Indianapolis, IN 46202-2803 | 2007-10-05 |
| 1235150418 | Renaissance Specialty Hospital of Central Indiana Operations Co LLC | Special Hospital | 2401 University Ave 8th Floor North Tower, Muncie, IN 47303-3428 | 2006-07-22 |
| 1356698187 | St. Vincents Sports Performance | Special Hospital | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2012-08-10 |
| 1568740223 | St Vincent Medical Group, Inc | Special Hospital | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-07-29 |
| 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.