THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY (NPI# 1578809398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578809398 |
| Entity Type | Organization |
| Organization Name | THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY |
| Other Organization Name | CREEKSIDE VILLAGE |
| Practice Address |
1420 E Douglas Rd Mishawaka IN 46545 |
| Mailing Address |
1420 E Douglas Rd Mishawaka IN 46545-1733 |
| Practice Telephone | 5743077200 |
| Practice Fax Number | 5742710193 |
| Mailing Telephone | 5743077200 |
| Mailing Fax Number | 5742710193 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | STEVE VAN CAMP (CFO OF ASC) |
| Authorized Official Telephone | 3177882500 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201002500A | 05 |
| Other Name | Type Code |
|---|---|
| Creekside Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895390 | The Health and Hospital Corporation of Marion County | Assisted Living Facility | 2002 Heritage Park Dr, Fort Wayne, IN 46805-5806 | 2020-09-10 |
| 1477188217 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1112 Southeastern Ave, Indianapolis, IN 46202-3947 | 2020-03-11 |
| 1598320566 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 9165 Otis Ave Ste 112, Indianapolis, IN 46216-2311 | 2019-05-06 |
| 1841855897 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 6920 Parkdale Pl Ste 107, Indianapolis, IN 46254-5604 | 2019-05-06 |
| 1073178059 | The Health and Hospital Corporation of Marion County | Nurse Practitioner | 2506 Willowbrook Pkwy Ste 299, Indianapolis, IN 46205-1548 | 2019-05-06 |
| 1639581069 | The Health and Hospital Corporation of Marion County | Clinic/Center | 1650 N College Ave Ste B, Indianapolis, IN 46202-1715 | 2014-05-20 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1093054447 | The Health and Hospital Corporation of Marion County | Clinic/Center | 6940 Michigan Rd Ste 135, Indianapolis, IN 46268-2800 | 2013-02-05 |
| 1831438282 | The Health and Hospital Corporation of Marion County | Clinic/Center | 3840 N Sherman Dr Ste 150, Indianapolis, IN 46226-4462 | 2013-02-05 |
| 1750686093 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1200 N State Road 135, Greenwood, IN 46142 | 2011-01-18 |
| Street Address |
1420 E DOUGLAS RD |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245515196 | Eric Hartman | Physical Therapy Assistant | 1420 E Douglas Rd, Mishawaka, IN 46545-1733 | 2011-10-11 |
| 1447712138 | Katleen Ann Zintsmaster | Occupational Therapist | 1420 E Douglas Rd, Mishawaka, IN 46545-1733 | 2019-04-02 |
| 1982035143 | Sheri Rimelspach | Occupational Therapist | 1420 E Douglas Rd, Mishawaka, IN 46545-1733 | 2013-12-12 |
| 1316376437 | Jillian Wolfe | Physical Therapy Assistant | 1420 E Douglas Rd, Mishawaka, IN 46545-1733 | 2013-11-08 |
| 1023447638 | Jennifer Ward | Physical Therapy Assistant | 1420 E Douglas Rd, Mishawaka, IN 46545-1733 | 2013-11-04 |
| 1982989612 | Debra Rodgers Olson | Physical Therapist | 1420 E Douglas Rd, Mishawaka, IN 46545-1733 | 2011-10-13 |
| 1013292754 | Cory Goodson | Physical Therapist | 1420 E Douglas Rd, Mishawaka, IN 46545-1733 | 2011-10-13 |
| 1427333251 | Ryan Schultheis | Physical Therapy Assistant | 1420 E Douglas Rd, Mishawaka, IN 46545-1733 | 2011-10-12 |
| 1447535372 | Chaya Schmeling | Occupational Therapy Assistant | 1420 E Douglas Rd, Mishawaka, IN 46545-1733 | 2011-10-11 |
| 1891079729 | Sara Estes | Speech-Language Pathologist | 1420 E Douglas Rd, Mishawaka, IN 46545-1733 | 2011-10-11 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982000964 | Gumbo LLC | Skilled Nursing Facility | 2618 River Ave, Mishawaka, IN 46544-1568 | 2014-11-18 |
| 1932427309 | Extendicare Health Facilities, Inc. | Skilled Nursing Facility | 1420 E Douglas Road, Mishawaka, IN 46545-1733 | 2010-05-11 |
| 1093762809 | Beverly Healthcare, LLC | Skilled Nursing Facility | 609 Tanglewood Ln, Mishawaka, IN 46545-2625 | 2006-05-27 |
| 1164478798 | Beverly Healthcare, LLC | Skilled Nursing Facility | 811 E 12th St, Mishawaka, IN 46544-5408 | 2006-05-25 |
| 1043754229 | Dycora Transitional Health - Mishawaka Springs LLC | Skilled Nursing Facility | 609 Tanglewood Ln, Mishawaka, IN 46545-2625 | 2016-12-07 |
| 1417491697 | Dycora Transitional Health - Mishawaka LLC | Skilled Nursing Facility | 811 E 12th St, Mishawaka, IN 46544-5408 | 2016-12-07 |
| 1851579486 | Hendricks County Hospital | Skilled Nursing Facility | 811 E 12th St, Mishawaka, IN 46544-5408 | 2008-02-06 |
| 1669650297 | Hendricks County Hospital | Skilled Nursing Facility | 609 Tanglewood Ln, Mishawaka, IN 46545-2625 | 2008-02-06 |
| 1760437461 | Saint Joseph Community Hospital of Mishawaka Inc | Skilled Nursing Facility | 215 W 4th St, Mishawaka, IN 46544-1917 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1629698808 | Decatur County Memorial Hospital | Skilled Nursing Facility | 6712 Restoracy Drive, Whitestown, IN 46075-0089 | 2020-04-17 |
| 1922586510 | Aperion Care Marion LLC | Skilled Nursing Facility | 614 W 14th St, Marion, IN 46953-2158 | 2018-08-06 |
| 1427548270 | Vibra Rehabilitation Hospital of Southern Indiana, LLC | Skilled Nursing Facility | 3104 Blackiston Boulevard, New Albany, IN 47150-9579 | 2018-05-17 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1366974404 | Mika Riddle | Skilled Nursing Facility | 407 W Walnut St, Van Buren, IN 46991 | 2017-03-29 |
| 1245787076 | Sara Steffe | Skilled Nursing Facility | 1015 Virginia St, Ferdinand, IN 47532-9285 | 2016-09-09 |
| 1770030504 | Valerie Burdette | Skilled Nursing Facility | 1872 E County Road 825 S, Oakland City, IN 47660-8911 | 2016-09-09 |
| 1205286507 | Christina Basham | Skilled Nursing Facility | 710 Bluffview Dr, Angola, IN 46703-2206 | 2016-06-16 |
| 1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
| 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.