Hoosier Wellness

LBN: Indiana Center For Recovery South Bend, Llc
Hoosier Wellness is an health care organization with primary practice located at 215 W 4Th St , Mishawaka IN 46544-1917. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Hospitals / Psychiatric Hospital, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Hospitals / Psychiatric Hospital is the primary health care specialty. Indiana Center For Recovery South Bend, Llc can be contacted via phone (561) 305-0461, or through Vesselov, Kirill via phone (561) 305-0461.

Contact Information

Primary practice address
215 W 4Th St Mishawaka IN 46544-1917
Phone: (561) 305-0461
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vesselov, Kirill
Phone: (561) 305-0461

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Hospitals / Psychiatric Hospital 283Q00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1326790262
LBN Legal business name Indiana Center For Recovery South Bend, Llc
DBA Doing business as Hoosier Wellness
Authorized official Vesselov, Kirill
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2022
Last updated Jun 25th, 2024 - about 3 months 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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