Active NPI
Kenmark Home Care, LLC
- Home Health Agency
- Mishawaka, IN
National Provider Identifier
1063399285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KENMARK HOME CARE, LLC
- Practice address
- 411 E McKinley Ave
Mishawaka, IN 46545-6210 - Phone
- (574) 217-7598
- Fax
- (574) 217-7752
- NPI assigned
- Aug 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Gachacha, RN
- Title
- Nurse
- Phone
- (574) 217-7598
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
411 E McKinley Ave
Mishawaka, IN 46545-6210
Mailing address
411 E McKinley Ave
Mishawaka, IN 46545-6210
Phone (574) 217-7598
National Provider Directory
National Provider DirectoryLocations
411 E McKinley Ave
Mishawaka, IN 46545
Phone (574) 217-7598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1063399285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 E MCKINLEY AVE",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465456210",
"telephone_number": "574-217-7598",
"fax_number": "574-217-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E MCKINLEY AVE",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465456210",
"telephone_number": "574-217-7598",
"fax_number": "574-217-7752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENMARK HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "GACHACHA",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "NURSE",
"authorized_official_telephone_number": "574-217-7598",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.