Organization Active NPI

Colombe Home Care LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mishawaka, IN
National Provider Identifier
1508677386
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
COLOMBE HOME CARE LLC
Practice address
738 Conner Dr
Mishawaka, IN 46544-5632
Phone
(832) 210-4868
NPI assigned
Jan 20, 2025
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Yannick Mugisha
Title
Ceo
Phone
(832) 210-4868

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

738 Conner Dr
Mishawaka, IN 46544-5632

Mailing address

738 Conner Dr
Mishawaka, IN 46544-5632

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1508677386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 CONNER DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465445632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 CONNER DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465445632",
            "telephone_number": "832-210-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOMBE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "MUGISHA",
        "authorized_official_first_name": "YANNICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-210-4868"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.