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Michiana Mental Health Care, Llc.
Skilled Nursing Facility in Mishawaka, Indiana
NPI 1205315033

Michiana Mental Health Care, Llc. is a Skilled Nursing Facility based in Granger, IN. Michiana Mental Health Care, Llc. practices in Mishawaka, IN. The NPI Number for Michiana Mental Health Care, Llc. is 1205315033 and holds a License No. 71006282A (Indiana).

The current practice location address for Michiana Mental Health Care, Llc. is 210 S Race St, Mishawaka, IN and can be reached out via phone at 574-220-7084. You can also correspond with Michiana Mental Health Care, Llc. through the mailing address at 14691 COPPER PENNY DR, GRANGER, IN - 46530-8304 (mailing address contact number: 574-220-7084).

Location: 210 S Race St, Mishawaka, IN, 46530-8304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205315033
Provider Name
Michiana Mental Health Care, Llc.
Credential
Provider Entity Type
Organization
Address
210 S Race St, Mishawaka, IN, 46530-8304
Phone Number
574-220-7084
Fax Number
Provider Enumeration Date
08/13/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194175554 05 IN
institution
Provider Business Practice Location Address Details
Address
210 S Race St
City
Mishawaka
State
Indiana
Zip
46544
Phone Number
574-220-7084
Fax Number
person
Provider Business Mailing Address Details
Address
14691 Copper Penny Dr
City
Granger
State
Indiana
Zip
46530-8304
Phone Number
574-220-7084
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
71016282A (Indiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
71016282A (Indiana)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
71016282A (Indiana)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
71006282A (Indiana)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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