Organization Active NPI

Kenmark Home Care, LLC

  • Home Health Agency
  • Mishawaka, IN
National Provider Identifier
1063399285
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 21, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.