Organization Active NPI

Michigan City RCF LP

Doing business as Silver Birch of Michigan City

  • Assisted Living Facility
  • Michigan City, IN
National Provider Identifier
1235648528
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MICHIGAN CITY RCF LP
Doing business as
Silver Birch of Michigan City
Practice address
4400 E Michigan Blvd
Michigan City, IN 46360-3153
Phone
(219) 879-6115
Fax
(219) 879-5618
NPI assigned
Sep 29, 2017
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Mrs. Naila Towne
Title
Controller
Phone
(312) 933-1523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4400 E Michigan Blvd
Michigan City, IN 46360-3153

Mailing address

121 W Wacker Dr Ste 400
Chicago, IL 60601-1781
Phone (312) 933-1523

Other names 1

  • Silver Birch of Michigan City Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2144797Michigan City RCF LP4400 E Michigan Blvd, Michigan City, IN 46360Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1235648528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W WACKER DR STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606011781",
            "telephone_number": "312-933-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E MICHIGAN BLVD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603153",
            "telephone_number": "219-879-6115",
            "fax_number": "219-879-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CITY RCF LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "TOWNE",
        "authorized_official_first_name": "NAILA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "312-933-1523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Birch of Michigan City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.