REHABILITATION HOSPITAL OF NORTHERN INDIANA, LLC (NPI# 1639719602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639719602 |
| Entity Type | Organization |
| Organization Name | REHABILITATION HOSPITAL OF NORTHERN INDIANA, LLC |
| Other Organization Name | REHABILITATION HOSPITAL OF NORTHERN INDIANA |
| Practice Address |
4807 Edison Lakes Parkway Mishawaka IN 46545-1112 |
| Mailing Address |
5 E River Park Place E #460 Fresno CA 93720-1560 |
| Practice Telephone | 5742437727 |
| Practice Fax Number | 5742437728 |
| Mailing Telephone | 5598922500 |
| Mailing Fax Number | 5598922442 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | MR. CLINT T. FEGAN (SECRETARY/TREASURER) |
| Authorized Official Telephone | 7175915700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Rehabilitation Hospital of Northern Indiana | Doing Business As Name - Organization |
| Street Address |
4807 EDISON LAKES PARKWAY |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679876940 | Triumph Rehabilitation Hospital Northern Indiana LLC | Rehabilitation Hospital | 215 W 4th St, Suite 200, Mishawaka, IN 46544-1917 | 2010-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465715 | Indianapolis Rehabilitation Hospital, LLC | Rehabilitation Hospital | 1260 City Center Dr Ste 320, Carmel, IN 46032-3810 | 2019-12-30 |
| 1508263807 | Incremedical | Rehabilitation Hospital | 937 E 12th St, Hobart, IN 46342-6021 | 2014-12-02 |
| 1215330444 | Mentor Abi, LLC | Rehabilitation Hospital | 3201 Davis Rd, Indianapolis, IN 46239-9305 | 2014-10-02 |
| 1114268810 | Community Health Network Rehabilitation Hospital LLC | Rehabilitation Hospital | 7343 Clearvista Dr, Indianapolis, IN 46256 | 2013-03-06 |
| 1669746038 | Mentor Abi, LLC D/b/a Neurorestorative Indiana | Rehabilitation Hospital | 2020 S Arlington Ave, Indianapolis, IN 46203-5005 | 2012-03-02 |
| 1487628616 | Encompass Health Deaconess Rehabilitation Hospital, LLC | Rehabilitation Hospital | 9355 Warrick Trl, Newburgh, IN 47630-0015 | 2006-02-14 |
| 1578562625 | Southern Indiana Rehabilitation Hospital | Rehabilitation Hospital | 3104 Blackiston Blvd, New Albany, IN 47150-9579 | 2005-07-20 |
| 1770581902 | Howard Regional Specialty Care LLC | Rehabilitation Hospital | 829 N Dixon Rd, Kokomo, IN 46901-1795 | 2005-07-12 |
| 1871083725 | Vibra Rehabilitation Hospital of Southern Indiana, LLC | Rehabilitation Hospital | 3104 Blackiston Blvd, New Albany, IN 47150-9579 | 2018-05-16 |
| 1790285500 | Community Health Network Rehabilitation Hospital South, LLC | Rehabilitation Hospital | 607 Greenwood Springs Dr, Greenwood, IN 46143-6377 | 2018-02-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REHABILITATION HOSPITAL OF NORTHERN INDIANA, LLC.
| 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.