Brickyard Healthcare - Twelfth Street Care Center

LBN: Hendricks County Hospital
Brickyard Healthcare - Twelfth Street Care Center is an health care organization with primary practice located at 811 E 12Th St , Mishawaka IN 46544-5408. 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. Hendricks County Hospital can be contacted via phone (574) 259-1917, or through Speer, Kevin P via phone (317) 745-4451.

Contact Information

Primary practice address
811 E 12Th St Mishawaka IN 46544-5408
Phone: (574) 259-1917
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Speer, Kevin P
Phone: (317) 745-4451

Health care specialties

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

Profile Details

NPI number 1851579486
LBN Legal business name Hendricks County Hospital
DBA Doing business as Brickyard Healthcare - Twelfth Street Care Center
Authorized official Speer, Kevin P
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2008
Last updated Jun 14th, 2022 - about 4 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 1851579486 NPPES
Indiana MEDICAID 100291400

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