HELLENIC SENIOR LIVING OF MISHAWAKA LLC (NPI# 1902429822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902429822 |
| Entity Type | Organization |
| Organization Name | HELLENIC SENIOR LIVING OF MISHAWAKA LLC |
| Practice Address |
1540 S. Logan Street Mishawaka IN 46544 |
| Mailing Address |
4882 N Convent St Bourbonnais IL 60914-1461 |
| Practice Telephone | 5742578629 |
| Practice Fax Number | 5742578634 |
| Mailing Telephone | 8159351992 |
| Mailing Fax Number | 8159358380 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | JOELLEN BLEAVINS (PRESIDENT OF MANAGEMENT COMPANY) |
| Authorized Official Telephone | 8159351992 |
| 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 |
|---|---|
| Hellenic Senior Living of Mishawaka | Doing Business As Name - Organization |
| Street Address |
1540 S. LOGAN STREET |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 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 |
| 1033364567 | Deborah Lee Hahn | Registered Nurse | 61619 Dogwood Rd., Mishawaka, IN 46544 | 2008-11-25 |
| Find all providers in zip 46544 | ||||
| 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 |
|---|---|---|---|---|
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 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 |
| 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.