NPIMap

Organization Active NPI

Janeczko Properties LLC

  • Skilled Nursing Facility
  • South Bend, IN
National Provider Identifier
1235219148
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
06 001141 1 Issued in IN
Legal business name
JANECZKO PROPERTIES LLC
Doing business as
The Milton Home
Practice address
206 E Marion St
South Bend, IN 46601-1029
Phone
(574) 233-0165
Fax
(574) 237-9818
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Mrs. Barbara Gawel, LHFA
Title
Administrator
Phone
(574) 233-0165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 06 001141 1 IN Primary

Addresses

Primary practice location

206 E Marion St
South Bend, IN 46601-1029

Mailing address

206 E Marion St
South Bend, IN 46601-1029
Phone (574) 233-0165

Other names 1

  • The Milton Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1235219148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E MARION ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011029",
            "telephone_number": "574-233-0165",
            "fax_number": "574-237-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MARION ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011029",
            "telephone_number": "574-233-0165",
            "fax_number": "574-237-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANECZKO PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "GAWEL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "574-233-0165",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LHFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "06 001141 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Milton Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.