NPIMap

Organization Active NPI

Center for Medical Services LLC

  • General Practice Physician
  • Mishawaka, IN
National Provider Identifier
1700544509
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CENTER FOR MEDICAL SERVICES LLC
Practice address
211 N Cedar St
Mishawaka, IN 46545-6923
Phone
(574) 243-3100
NPI assigned
Nov 30, 2021
Organization subpart
Yes
Parent organization
THE CENTER FOR HOSPICE AND PALLIATIVE CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Mark M Murray
Title
President / Ceo
Phone
(574) 243-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

211 N Cedar St
Mishawaka, IN 46545-6923

Mailing address

501 Comfort PL
Mishawaka, IN 46545-5234
Phone (574) 243-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220207000876 IN Part B Supplier - Clinic/Group Practice 0042603599 Receives reassigned benefits from 8 practitioners
Practice locations: Mishawaka, IN

National Provider Directory

National Provider Directory
Part of
Center for Hospice and Palliative Care Inc

Locations

501 Comfort Pl
Mishawaka, IN 46545
Phone (574) 243-3100

211 N Cedar St
Mishawaka, IN 46545
Phone (574) 232-2666

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1700544509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 COMFORT PL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455234",
            "telephone_number": "574-243-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N CEDAR ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456923",
            "telephone_number": "574-243-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MEDICAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CENTER FOR HOSPICE AND PALLIATIVE CARE, INC",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "574-243-3100"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.