Michiana Mental Health Care, Llc.

LBN: Michiana Mental Health Care, Llc.
Michiana Mental Health Care, Llc. is an health care organization with primary practice located at 210 S Race St , Mishawaka IN 46544. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Michiana Mental Health Care, Llc. can be contacted via phone (574) 220-7084, or through Stanton, Tara via phone (574) 220-7084.

Contact Information

Primary practice address
210 S Race St Mishawaka IN 46544
Phone: (574) 220-7084
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stanton, Tara NP-P
Phone: (574) 220-7084

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 71006282A Indiana
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X 71016282A Indiana
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 71016282A Indiana
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 71016282A Indiana

Profile Details

NPI number 1205315033
LBN Legal business name Michiana Mental Health Care, Llc.
DBA Doing business as
Authorized official Stanton, Tara NP-P
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2018
Last updated Aug 22nd, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205315033 NPPES
Indiana MEDICAID 1194175554

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