Dycora Transitional Health - Mishawaka Springs LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DYCORA TRANSITIONAL HEALTH - MISHAWAKA SPRINGS LLC

Practice address

609 Tanglewood LN
Mishawaka, IN 46545-2625

Phone

(574) 277-2500

NPI assigned

Dec 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Hawkins

Title

Executive

Phone

(574) 277-2500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1043754229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 TANGLEWOOD LN",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452625",
            "telephone_number": "574-277-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 TANGLEWOOD LN",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452625",
            "telephone_number": "574-277-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCORA TRANSITIONAL HEALTH - MISHAWAKA SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "574-277-2500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Irene Dunn
• Sierra Alicia Dunne
• Carlyn Dee Dust, RN, BSN
• Brittany Duszynski, ATC
• Dycora Transitional Health - Mishawaka LLC
• Michael Wayne Dye Jr., M.D.
• Mary C Dynes, MD
• Richard Michael Dziak, D.D.S.
• Rhiannon Lee Dziubinski, PTA
• Cerenna Starlie Eakright

• Skilled Nursing Facility in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.