Organization Active NPI

Support Connect, LLC

  • Home Health Agency
  • Mishawaka, IN
National Provider Identifier
1720955305
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPPORT CONNECT, LLC
Practice address
3325 Colony CT
Mishawaka, IN 46545-3152
Phone
(623) 692-7703
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Marie Ange Ingabire
Title
Director
Phone
(623) 692-7703

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3325 Colony CT
Mishawaka, IN 46545-3152

Mailing address

3325 Colony CT
Mishawaka, IN 46545-3152
Phone (623) 692-7703

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1720955305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 COLONY CT",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453152",
            "telephone_number": "623-692-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 COLONY CT",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453152",
            "telephone_number": "623-692-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT CONNECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "INGABIRE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ANGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-692-7703"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Oct 23, 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.