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Stacey Phipps
Nursing Facility/Intermediate Care Facility in South Bend, Indiana
NPI 1265716146

Stacey Phipps is a Nursing Facility/Intermediate Care Facility based in South Bend, IN. Stacey Phipps practices in South Bend, IN. The NPI Number for Stacey Phipps is 1265716146 and holds a License No. 32001430A (Indiana).

The current practice location address for Stacey Phipps is 1950 Ridgedale Rd, South Bend, IN and can be reached out via phone at 574-291-6722.

Location: 1950 Ridgedale Rd, South Bend, IN, 46614-1536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265716146
Provider Name
Stacey Phipps
Credential
Provider Entity Type
Individual
Gender
Female
Address
1950 Ridgedale Rd, South Bend, IN, 46614-1536
Phone Number
574-291-6722
Fax Number
Provider Enumeration Date
10/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1950 Ridgedale Rd
City
South Bend
State
Indiana
Zip
46614-2243
Phone Number
574-291-6722
Fax Number
person
Provider Business Mailing Address Details
Address
1950 Ridgedale Rd
City
South Bend
State
Indiana
Zip
46614-2243
Phone Number
574-291-6722
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
32001430A (Indiana)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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