Active NPI
O'Hana Heritage Foundation Inc
Doing business as A Rosie Place
- Special Hospital
- South Bend, IN
National Provider Identifier
1720374374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- 11-012157-1
- Legal business name
- O'HANA HERITAGE FOUNDATION INC
- Doing business as
- A Rosie Place
- Practice address
- 53131 Quince Rd
South Bend, IN 46628-9691 - Phone
- (574) 235-8899
- Fax
- (574) 235-8897
- NPI assigned
- Jun 22, 2011
- Last updated
- Oct 23, 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
- Tieal C. Bishop
- Title
- Executive Director/Ceo
- Phone
- (574) 315-6283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | 11-012157-1 | IN | Primary |
Addresses
Primary practice location
53131 Quince Rd
South Bend, IN 46628-9691
Mailing address
53131 Quince Rd
South Bend, IN 46628-9691
Phone (574) 235-8899
Other names 1
- A Rosie Place
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2008816 | A Rosie Place | Certificate of waiver | Jun 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
53131 Quince Rd
South Bend, IN 46628
Phone (574) 235-8899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445558400000",
"number": "1720374374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53131 QUINCE RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466289691",
"telephone_number": "574-235-8899",
"fax_number": "574-235-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53131 QUINCE RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466289691",
"telephone_number": "574-235-8899",
"fax_number": "574-235-8897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'HANA HERITAGE FOUNDATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-22",
"last_updated": "2015-10-23",
"status": "A",
"authorized_official_last_name": "BISHOP",
"authorized_official_first_name": "TIEAL",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
"authorized_official_telephone_number": "574-315-6283"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "IN",
"license": "11-012157-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A Rosie Place",
"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 Oct 23, 2015; 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.