Organization Active NPI

Mishawaka RCF LP

  • Assisted Living Facility
  • Mishawaka, IN
National Provider Identifier
1639662596
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MISHAWAKA RCF LP
Doing business as
Silver Birch of Mishawaka
Practice address
3630 Hickory Rd
Mishawaka, IN 46545
Phone
(574) 252-7225
NPI assigned
Jun 14, 2018
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

3630 Hickory Rd
Mishawaka, IN 46545

Mailing address

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

Other names 1

  • Silver Birch of Mishawaka 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
15D2160696Silver Birch of Mishawaka3630 Hickory Road, Mishawaka, IN 46545Certificate of waiverJan 15, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1639662596",
    "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",
            "fax_number": "312-488-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 HICKORY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46545",
            "telephone_number": "574-252-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHAWAKA RCF LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "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 Mishawaka",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Birch of Mishawaka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.