Tanglewood Trace

LBN: Gahc3 Mishawaka In Alf Trs Sub, Llc
Tanglewood Trace is an health care organization with primary practice located at 530 Tanglewood Ln , Mishawaka IN 46545-2627. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Gahc3 Mishawaka In Alf Trs Sub, Llc can be contacted via phone (317) 324-9563, or through Prosky, Danny via phone (949) 270-9200.

Contact Information

Primary practice address
530 Tanglewood Ln Mishawaka IN 46545-2627
Phone: (317) 324-9563
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prosky, Danny
Phone: (949) 270-9200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1205216942
LBN Legal business name Gahc3 Mishawaka In Alf Trs Sub, Llc
DBA Doing business as Tanglewood Trace
Authorized official Prosky, Danny
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2015
Last updated Jun 8th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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