The Children's Campus, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

43714 Issued in IN

Legal business name

THE CHILDREN'S CAMPUS, INC.

Practice address

1011 E Washington St
South Bend, IN 46617-3109

Phone

(574) 280-2082

NPI assigned

Mar 6, 2008

Last updated

Jun 19, 2008By 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

Kristin Ermeti

Title

Executive Director

Phone

(574) 259-5667

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Children's Campus Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• The Children's Campus, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Mishawaka, IN
  • NPI 1295905263
  NPD tax ID
• The Children's Campus, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Mishawaka, IN
  • NPI 1659302461
  NPD tax ID
• The Children's Campus, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • South Bend, IN
  • NPI 1841460813
  NPD tax ID
• The Childrens Campus, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Mishawaka, IN
  • NPI 1568632537
  NPD tax ID

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1396915369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 LINCOLNWAY W",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441626",
            "telephone_number": "574-259-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E WASHINGTON ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466173109",
            "telephone_number": "574-280-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S CAMPUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ERMETI",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-259-5667"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IN",
            "license": "43714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200473490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronnae Tessely, OT
• Stephanie R Thacker, MA, LMHC
• Cynthia Thai, MD
• Robert Daniel Thatcher
• The Center for the Homeless, Inc
• The Children's Campus, Inc.
• The Cottage at 933 LLC (The Cottage at 933)
• The Dental Center of South Bend LLC
• The Health and Hospital Corporation of Marion County (Trailpoint Village)
• The Health and Hospital Corporation of Marion County (Cardinal Nursing and Rehabilitation Center)

• Mental Illness Community Based Residential Treatment Facility in South Bend, IN
• Providers in South Bend, IN by specialty
• Mental Illness Community Based Residential Treatment Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.