THE CHILDREN'S CAMPUS, INC. (NPI# 1396915369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396915369 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S CAMPUS, INC. |
| Practice Address |
1011 E Washington St South Bend IN 46617-3109 |
| Mailing Address |
1411 Lincolnway W Mishawaka IN 46544-1626 |
| Practice Telephone | 5742802082 |
| Mailing Telephone | 5742595666 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | KRISTIN ERMETI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5742595667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 43714 | IN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200473490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841460813 | The Children's Campus, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1028 E Wayne St, South Bend, IN 46617-3026 | 2008-03-06 |
| 1659302461 | The Children's Campus, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1411 Lincoln Way W, Mishawaka, IN 46544-1626 | 2006-07-06 |
| Street Address |
1011 E WASHINGTON ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841460813 | The Children's Campus, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1028 E Wayne St, South Bend, IN 46617-3026 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326660804 | New Beginning Mental Health LLC | Community Based Residential Treatment Facility, Mental Illness | 2017 N Arbogast St Apt 0e, Griffith, IN 46319-1273 | 2020-05-07 |
| 1346711348 | Inspiration Ministries Inc | Community Based Residential Treatment Facility, Mental Illness | 138 E 7th St, Auburn, IN 46706-1839 | 2018-12-17 |
| 1508378134 | Micare Home Health Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 6036 E 42nd St, Indianapolis, IN 46226-4910 | 2017-11-05 |
| 1033648126 | Bryce Dorsey | Community Based Residential Treatment Facility, Mental Illness | 7859 Danube St, Indianapolis, IN 46239-9296 | 2017-06-12 |
| 1346630118 | Renita Ware | Community Based Residential Treatment Facility, Mental Illness | 1003 Colfax St, Gary, IN 46406-1903 | 2015-01-30 |
| 1891185849 | L.i.f.e. Adult Day Academy | Community Based Residential Treatment Facility, Mental Illness | 5421 Homestead Rd, Fort Wayne, IN 46814-4964 | 2015-01-29 |
| 1033528401 | Nancy Spiegla | Community Based Residential Treatment Facility, Mental Illness | 356 S Boo Rd, Burns Harbor, IN 46304-9749 | 2014-08-10 |
| 1841609641 | Yvonne Williams | Community Based Residential Treatment Facility, Mental Illness | 444 Fillmore St, Gary, IN 46402-1036 | 2014-08-05 |
| 1386889459 | Top Notch Construction | Community Based Residential Treatment Facility, Mental Illness | 4710 W 900 N, Wheatfield, IN 46392-9684 | 2008-12-03 |
| 1295905263 | The Children's Campus, Inc | Community Based Residential Treatment Facility, Mental Illness | 216 S Logan St, Mishawaka, IN 46544-1708 | 2008-03-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.