Hellenic Senior Living of Mishawaka LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HELLENIC SENIOR LIVING OF MISHAWAKA LLC

Doing business as

Hellenic Senior Living of Mishawaka

Practice address

1540 S. Logan Street
Mishawaka, IN 46544

Phone

(574) 257-8629

Fax

(574) 257-8634

NPI assigned

May 27, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Bedolla

Title

Director of Operations

Phone

(317) 845-3410

Specialties & licenses 1

Addresses

Other names 1

• Hellenic Senior Living of Mishawaka Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1902429822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 SKY PRAIRIE ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460387803",
            "telephone_number": "317-845-3410",
            "fax_number": "317-288-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 S. LOGAN STREET",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46544",
            "telephone_number": "574-257-8629",
            "fax_number": "574-257-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLENIC SENIOR LIVING OF MISHAWAKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "BEDOLLA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "317-845-3410"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hellenic Senior Living of Mishawaka",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hellenic Senior Living of Mishawaka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.

Verify at the official NPI Registry.