PHYSICIANS HOSPITAL, LLC
NPI 1174710750
Long Term Care Hospital in Mishawaka, IN

Active since September 27, 2007
1625 E JEFFERSON BLVD, MISHAWAKA, IN 46545(574) 255-1400 Get Directions Write a Review

NPPES record last updated: January 13, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Physicians Hospital, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIANS HOSPITAL, LLC (NPI 1174710750) is a healthcare organization registered as a long term care hospital in Mishawaka, Indiana and active in the NPI registry since September 2007. The organization lists Tammi Moore, Professional Service Director, as its authorized official.

NPPES Registry Identity

NPI1174710750
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NamePHYSICIANS HOSPITAL, LLC
Location Address1625 E JEFFERSON BLVDMishawaka, IN 46545-7103
Mailing Address1625 E Jefferson BlvdMishawaka, IN 46545-7103 · (574) 255-1400
Organization SubpartNo
Authorized OfficialTammi MooreProfessional Service Director · (574) 546-1911
Enumeration DateSeptember 27, 2007
Last NPPES UpdateJanuary 13, 2009
NPI 1174710750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
License Licensed in IN · 080056581
Definition

Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

1625 E JEFFERSON BLVD, Mishawaka, IN 46545

Other Identifiers 1

Medicare OSCAR/certification152026IN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1625 E JEFFERSON BLVD
MISHAWAKA, IN 46545
Psychiatric Hospital
1625 E JEFFERSON BLVD
MISHAWAKA, IN 46545
Nurse Practitioner (Psychiatric/Mental Health)
1625 E JEFFERSON BLVD
MISHAWAKA, IN 46545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physicians Hospital, LLC's NPI number?

The NPI number for Physicians Hospital, LLC is 1174710750. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Physicians Hospital, LLC located?

Physicians Hospital, LLC is located at 1625 E Jefferson Blvd, Mishawaka, IN 46545. The listed phone number is (574) 255-1400.

What is Physicians Hospital, LLC's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

When was this NPI record last updated?

The NPPES record for Physicians Hospital, LLC was last updated on January 13, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.