Scci Hospitals of America, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

SCCI HOSPITALS OF AMERICA, LLC

Doing business as

Kindred Hospital Northern Indiana

Practice address

215 W 4TH St
Mishawaka, IN 46544

Phone

(574) 251-8238

Fax

(574) 280-5889

NPI assigned

Oct 24, 2008

Last updated

Aug 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Terrance Dillon

Title

Assistant Secretary / Ao

Phone

(502) 596-7220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kindred Hospital Northern Indiana Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Rehabcare Group East LLC

  dba RehabCare

  • Rehabilitation Clinic/Center
  • Jefferson City, MO
  • NPI 1972020394

  Member Of

  NPD member

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1194978940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S. 4TH ST.",
            "address_2": "KH-2 REIMBURSEMENT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7220",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 4TH ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46544",
            "telephone_number": "574-251-8238",
            "fax_number": "574-280-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCCI HOSPITALS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY / AO",
        "authorized_official_telephone_number": "502-596-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200292860A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Northern Indiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital Northern Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Sauer, FNP
• Tanisha Renee Saunders
• Marcus Saylor
• Sara Rosemarie Saylor
• Allison Nicole Scales, MT
• Micah Schaefer, LMT
• Linda Schaeper, RDN
• Kyla M Schauss, FNP
• Andrew Robert Scheel
• Nicole A Scheidler, NP

• Long Term Care Hospital in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Long Term Care Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.