Michiana Health And Rehabilitation Center

LBN: Extendicare Health Facilities, Inc.
Michiana Health And Rehabilitation Center is an health care organization with primary practice located at 1420 E Douglas Road , Mishawaka IN 46545-1733. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Extendicare Health Facilities, Inc. can be contacted via phone (502) 216-6344, or through Maassen, Donna J via phone (414) 908-8119.

Contact Information

Primary practice address
1420 E Douglas Road Mishawaka IN 46545-1733
Phone: (502) 216-6344
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maassen, Donna J
Phone: (414) 908-8119

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1932427309
LBN Legal business name Extendicare Health Facilities, Inc.
DBA Doing business as Michiana Health And Rehabilitation Center
Authorized official Maassen, Donna J
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2010
Last updated Apr 28th, 2011 - about 15 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 1932427309 NPPES
Indiana MEDICAID 201002500

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