NPIMap

Organization Active NPI

Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • Elkhart, IN
National Provider Identifier
1861034688
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTHLINC, INC
Practice address
1545 Cassopolis St
Elkhart, IN 46514-3128
Phone
(574) 293-0052
Fax
(574) 293-3744
NPI assigned
Oct 14, 2019
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHLINC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Me Mitchell
Title
Ceo
Phone
(219) 413-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1545 Cassopolis St
Elkhart, IN 46514-3128

Mailing address

236 Simpson Ave
Elkhart, IN 46516-4666
Phone (574) 293-0052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191202000040 IN Part A Provider - Federally Qualified Health Center (FQHC) 9931008380 Practice locations: Elkhart, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861034688. Details of each certification follow.

Federally qualified health center certification: CCN 151066

Legal name
HEART CITY HEALTH CENTER INC
Doing business as
HEART CITY WOMENS HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 2, 2019
Last certification
Dec 2, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1545 Cassopolis St
Elkhart, IN 46514-3128

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
15D2177502Heart City Health- Womens Health1545 Cassopolis St, Elkhart, IN 46514Provider-performed microscopyJan 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Heart City Health Center5 organizations share this tax ID, including this one
Part of
Heart City Health Center

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1545 Cassopolis St
Elkhart, IN 46514
Phone (574) 584-2501

2100 Superior St
Elkhart, IN 46516
Phone (574) 970-1937

236 Simpson Ave
Elkhart, IN 46516
Phone (574) 293-0052

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lalaesha Black Individual Corporate OfficerCeo Jul 1, 2025
W-2 Managing EmployeeCeo Jul 1, 2025
Angelia Washington Individual Corporate Director Feb 2, 2017
Arvis Dawson Individual Corporate Director Oct 7, 2017
Robert Taylor Individual Corporate Director Feb 28, 2018
Haroon R Ansari Individual Corporate Director Aug 1, 2025
Nancy Poikonen Individual Corporate Director Nov 18, 2019
Anthony England Individual Corporate Director Mar 28, 2018
Tessa Barnes Individual Corporate Director Jan 1, 2025

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1861034688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SIMPSON AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164666",
            "telephone_number": "574-293-0052",
            "fax_number": "574-293-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 CASSOPOLIS ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143128",
            "telephone_number": "574-293-0052",
            "fax_number": "574-293-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHLINC, INC",
        "enumeration_date": "2019-10-14",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-413-5100"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.