Active NPI
Career Academy of South Bend, Inc.
- Local Education Agency (LEA)
- South Bend, IN
National Provider Identifier
1487048005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- License
- 7564
- Legal business name
- CAREER ACADEMY OF SOUTH BEND, INC.
- Doing business as
- South Bend Career Academy
- Practice address
- 3801 Crescent Cir
South Bend, IN 46628-6136 - Phone
- (574) 299-9800
- Fax
- (574) 288-6125
- NPI assigned
- Mar 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles M Loeser
- Title
- Assistant Secretary/Attorney
- Phone
- (574) 271-5145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | 7564 | IN | Primary |
Addresses
Primary practice location
3801 Crescent Cir
South Bend, IN 46628-6136
Mailing address
3801 Crescent Cir
South Bend, IN 46628-6136
Phone (574) 299-9800
Other names 1
- South Bend Career Academy
National Provider Directory
National Provider DirectoryLocations
3801 Crescent Cir
South Bend, IN 46628
Phone (574) 299-9800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426809600000",
"number": "1487048005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 CRESCENT CIR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466286136",
"telephone_number": "574-299-9800",
"fax_number": "574-288-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 CRESCENT CIR",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466286136",
"telephone_number": "574-299-9800",
"fax_number": "574-288-6125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREER ACADEMY OF SOUTH BEND, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-20",
"last_updated": "2015-03-20",
"status": "A",
"authorized_official_last_name": "LOESER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ASSISTANT SECRETARY/ATTORNEY",
"authorized_official_telephone_number": "574-271-5145",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "IN",
"license": "7564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "South Bend Career Academy",
"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 Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.