THE CHILDREN'S CAMPUS, INC. (NPI# 1659302461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659302461 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S CAMPUS, INC. |
| Practice Address |
1411 Lincoln Way W Mishawaka IN 46544-1626 |
| Practice Telephone | 5742595666 |
| Practice Fax Number | 5742556179 |
| Mailing Telephone | 5742595666 |
| Mailing Fax Number | 5742556179 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KRISTIN ERMETI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5742595666 |
| Authorized Official Credential | M.S.W, L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 43714 | IN | Residential Treatment Facilities |
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 43486 | IN | Residential Treatment Facilities |
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 43738 | IN | Residential Treatment Facilities |
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 42256 | IN | Residential Treatment Facilities |
| X | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 32231 | IN | Residential Treatment Facilities |
| X | 323P00000X | Psychiatric Residential Treatment Facility | 73718 | IN | Residential Treatment Facilities |
| 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 |
| 1396915369 | The Children's Campus, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1011 E Washington St, South Bend, IN 46617-3109 | 2008-03-06 |
| Street Address |
1411 LINCOLN WAY W |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306802681 | Marybeth Francis Mcclure | Pediatrics | 1411 Lincoln Way W, Mishawaka, IN 46544-1626 | 2006-04-25 |
| 1770794364 | Sheila Clare Holody | Social Worker | 1411 Lincoln Way W, Mishawaka, IN 46544-1626 | 2007-05-24 |
| 1245372739 | Marybeth F Mcclure Do | Pediatrics | 1411 Lincoln Way W, Mishawaka, IN 46544-1626 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| 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 |
|---|---|---|---|---|
| 1295905263 | The Children's Campus, Inc | Community Based Residential Treatment Facility, Mental Illness | 216 S Logan St, Mishawaka, IN 46544-1708 | 2008-03-06 |
| 1568632537 | The Childrens Campus, Inc | Community Based Residential Treatment Facility, Mental Illness | 526 Lincolnway E, Mishawaka, IN 46544-2212 | 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.