ICR SOUTH BEND OPERATING SUBSIDIARY, LLC
NPI 1093664435
Psychiatric Hospital in Mishawaka, IN
NPI Status: Active since January 27, 2026
Contact Information
215 W 4TH ST
MISHAWAKA, IN
ZIP 46544
Phone: (574) 544-0207
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Psychiatric Hospital
About ICR SOUTH BEND OPERATING SUBSIDIARY, LLC
This page provides the complete NPI Profile along with additional information for Icr South Bend Operating Subsidiary, Llc, a provider established in Mishawaka, Indiana operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1093664435 assigned on January 2026. The practitioner's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Tara Gurney (Authorized Official)
- NPI
- 1093664435
- Provider Name
- ICR SOUTH BEND OPERATING SUBSIDIARY, LLC
- Entity Type
- Organization
- Location Address
- 215 W 4TH ST MISHAWAKA, IN 46544
- Location Phone
- (574) 544-0207
- Mailing Address
- 2925 10TH AVE N PALM SPRINGS, FL 33461
- Mailing Phone
- (305) 361-9115
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-27-2026
- Last Update Date
- 05-28-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatric Hospital
- Taxonomy Code
- 283Q00000X
- Type
- Hospitals
- Taxonomy Description
- An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| 3 | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | |
| 4 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093664435, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
MISHAWAKA, IN 46544
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093664435, enumerated as an "organization" on January 27, 2026.
The provider is located at 215 W 4TH ST MISHAWAKA, IN 46544 and the phone number is (574) 544-0207.
Psychiatric Hospital with taxonomy code 283Q00000X.
