1. Home
  2. Directory
  3. Indiana
  4. Mishawaka
  5. Psychiatric Hospital
  6. NPI Profile

MEDICAL BEHAVIORAL HOSPITAL OF MISHAWAKA
NPI 1255740189
Psychiatric Hospital in Mishawaka, IN

Active since August 05, 2014CLIA 15D2086302 · Waiver
1625 E JEFFERSON BLVD, MISHAWAKA, IN 46545(574) 255-1400(574) 255-1840 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2024, Feb 25, 2020, Nov 5, 2018 (3 updates tracked since 2018).

About Medical Behavioral Hospital Of Mishawaka NPPES

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

MEDICAL BEHAVIORAL HOSPITAL OF MISHAWAKA (NPI 1255740189) is a healthcare organization registered as a psychiatric hospital in Mishawaka, Indiana and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Christy Keltner, Corp Bod, as its authorized official.

NPPES Registry Identity

NPI1255740189
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameRIVERCREST SPECIALTY HOSPITAL, LLC
Location Address1625 E JEFFERSON BLVDMishawaka, IN 46545-7103
Mailing Address112 W Jefferson Blvd Ste 600South Bend, IN 46601-1921 · (574) 255-1400 · Fax (574) 255-1840
Phone(574) 255-1400
Fax(574) 255-1840
Organization SubpartNo
Authorized OfficialChristy KeltnerCorp Bod · (615) 319-6552
Enumeration DateAugust 5, 2014
Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1255740189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition

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.

1625 E JEFFERSON BLVD, Mishawaka, IN 46545
Open in Google Maps ↗

Other Names 1

Doing Business AsMedical Behavioral Hospital Of Mishawaka

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2086302

Rivercrest Specialty Hospital, LLC · Mishawaka, IN
Active · expires Oct 30, 2026
CLIA Number15D2086302
Laboratory TypeHospital
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorBarbara Bellar
Laboratory Phone(574) 255-1400
Laboratory LocationRivercrest Specialty Hospital, LLC1625 E Jefferson Blvd, Mishawaka, IN 46545
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Medical Behavioral Hospital - Mishawaka (CMS certification number 154061), from CMS Care Compare.

Medical Behavioral Hospital - Mishawaka

Psychiatric · Mishawaka, IN
OwnershipProprietary
CMS Certification Number154061
Location1625 East Jefferson BlvdMishawaka, IN 46545 · St. Joseph County · (574) 485-1703

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.

JUANITA MARIE ROBERTS FNP-BC
Nurse Practitioner (Family)
1625 E JEFFERSON BLVD
MISHAWAKA, IN 46545
St. Joseph County (574) 255-1400
PHYSICIANS HOSPITAL, LLC
Long Term Care Hospital
1625 E JEFFERSON BLVD
MISHAWAKA, IN 46545
St. Joseph County (574) 255-1400
MS. MARGARET ANN SRINIVASAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1625 E JEFFERSON BLVD
MISHAWAKA, IN 46545
St. Joseph County (574) 255-1400

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 Rivercrest Specialty Hospital, LLC's NPI number?

The NPI number for Rivercrest Specialty Hospital, LLC is 1255740189. It was assigned to this organization in the NPPES registry on August 5, 2014. The provider is doing business as Medical Behavioral Hospital Of Mishawaka.

Where is Rivercrest Specialty Hospital, LLC located?

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

What is Rivercrest Specialty Hospital, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Rivercrest Specialty Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2086302) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Rivercrest Specialty Hospital, LLC a Medicare-certified hospital?

Yes. Medical Behavioral Hospital - Mishawaka is a Medicare-certified hospital (Psychiatric).

What insurance does Rivercrest Specialty Hospital, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Rivercrest Specialty Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rivercrest Specialty Hospital, LLC was last updated on August 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.