MISHAWAKA RCF LP (NPI# 1639662596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639662596 |
Entity Type | Organization |
Organization Name | MISHAWAKA RCF LP |
Other Organization Name | SILVER BIRCH OF MISHAWAKA |
Practice Address |
3630 Hickory Rd Mishawaka IN 46545 |
Mailing Address |
121 W Wacker Dr Ste 400 Chicago IL 60601-1781 |
Practice Telephone | 5742527225 |
Mailing Telephone | 3122393534 |
Mailing Fax Number | 3124881919 |
Enumeration Date | 2018-06-14 |
Last Update Date | 2018-06-14 |
Authorized Official Name | MR. DAVID COCAGNE (MANAGING MEMBER OF GENERAL PARTNER) |
Authorized Official Telephone | 3122393534 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Silver Birch of Mishawaka | Doing Business As Name - Organization |
Street Address |
3630 HICKORY RD |
City | MISHAWAKA |
State | IN |
Zip Code | 46545 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750990610 | Cheyenne S Price | Physical Therapy Assistant | 3630 Hickory Rd, Mishawaka, IN 46545-8865 | 2020-07-27 |
1356972723 | Trevor David Manspeaker | Occupational Therapist | 3630 Hickory Rd, Mishawaka, IN 46545-8865 | 2020-02-04 |
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 |
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 |
1497095343 | April Lynn Root | Dietitian, Registered | St. Joseph County Va Clinic, 1540 Trinity Place, Mishawaka, IN 46545 | 2013-02-28 |
Find all providers in zip 46545 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
1578980561 | Community Development Corporation of Mishawaka | Assisted Living Facility | 500 Lincolnway E, Mishawaka, IN 46544-2266 | 2014-03-27 |
1922358837 | Hancock Regional Hospital | Assisted Living Facility | 60257 Bodnar Blvd, Mishawaka, IN 46544-9342 | 2012-09-18 |
1205216942 | Gahc3 Mishawaka In Alf Trs Sub, LLC | Assisted Living Facility | 530 Tanglewood Ln, Mishawaka, IN 46545-2627 | 2015-06-08 |
1588968416 | Arv Assisted Living, Inc. | Assisted Living Facility | 530 Tanglewood Ln, Mishawaka, IN 46545-2627 | 2011-01-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437757747 | Auburn Senior Living LLC | Assisted Living Facility | 1675 W. 7th Street, Auburn, IN 46706-2530 | 2020-10-09 |
1740895390 | The Health and Hospital Corporation of Marion County | Assisted Living Facility | 2002 Heritage Park Dr, Fort Wayne, IN 46805-5806 | 2020-09-10 |
1841804192 | Saint Anne Home of The Diocese of Fort Wayne-south Bend | Assisted Living Facility | 25 Victory Noll Dr, Huntington, IN 46750-9111 | 2020-09-03 |
1407460959 | Residential Care X L.L.C. | Assisted Living Facility | 7133 Meadow Trl, Brownsburg, IN 46112-1388 | 2020-09-02 |
1598379042 | Residential Care Xi L.L.C. | Assisted Living Facility | 10410 Allisonville Rd, Fishers, IN 46038-2017 | 2020-09-02 |
1821615444 | Newburgh Assisted Living, LLC | Assisted Living Facility | 4211 Grimm Rd, Newburgh, IN 47630-9444 | 2020-06-30 |
1003431461 | Residential Care Xiii L.L.C. | Assisted Living Facility | 741 Park East Blvd, Lafayette, IN 47905-0797 | 2020-06-11 |
1659994200 | Lake Meadows Licensee LLC | Assisted Living Facility | 11570 E 126th Street, Fishers, IN 46037 | 2020-05-18 |
1730712886 | Cook Road Aal Lp | Assisted Living Facility | 3731 W Cook Rd, Fort Wayne, IN 46818-9403 | 2020-02-18 |
1194358119 | Ev Fw Limited Partnership | Assisted Living Facility | 12523 Auburn Rd, Fort Wayne, IN 46845-8797 | 2020-02-18 |
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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.