Triumph Rehabilitation Hospital Northern Indiana LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

TRIUMPH REHABILITATION HOSPITAL NORTHERN INDIANA LLC

Practice address

215 W 4TH St
Suite 200
Mishawaka, IN 46544-1917

Phone

(574) 252-5000

Fax

(574) 280-5889

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Marilyn A. Weaver

Title

Assistant Secretary

Phone

(502) 596-7563

Specialties & licenses 2

Addresses

Other names 1

• Kindred Hospital Northern Indiana Doing business as

Locations

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1679876940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W 4TH ST",
            "address_2": "SUITE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441917",
            "telephone_number": "574-252-5000",
            "fax_number": "574-280-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 4TH ST",
            "address_2": "SUITE 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441917",
            "telephone_number": "574-252-5000",
            "fax_number": "574-280-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH REHABILITATION HOSPITAL NORTHERN INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7563"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Northern Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Daniel J Triezenberg, MD
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• Eric Tripp, M.D.
• Benjamin Louis Troy, M.D.
• Nicole Troyer, RN
• Truelove Sleep Solutions, Inc
• Lisa A Tungate
• Kris Denzel Tupas, PHARMD

• Long Term Care Hospital in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Long Term Care Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.