1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Nursing Facility Intermediate Care Facility
  6. NPI Profile

STACEY PHIPPS
NPI 1265716146
Nursing Facility/Intermediate Care Facility in South Bend, IN

Active since October 10, 2011
1950 RIDGEDALE RD, SOUTH BEND, IN 46614(574) 291-6722 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacey Phipps NPPES

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

STACEY PHIPPS (NPI 1265716146) is an individual nursing facility/intermediate care facility provider in South Bend, Indiana, licensed in Indiana (32001430A) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1265716146
Entity TypeIndividualFemale
Primary Taxonomy313M00000X
Provider Legal NameSTACEY PHIPPS
Location Address1950 RIDGEDALE RDSouth Bend, IN 46614-2243
Mailing Address2612 Southridge DrSouth Bend, IN 46614-1536
Phone(574) 291-6722
Sole ProprietorYes
Enumeration DateOctober 10, 2011
✔ NPI 1265716146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in IN · 32001430A
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.

1950 RIDGEDALE RD, South Bend, IN 46614
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

TANYA M GOELLER PTA
Physical Therapy Assistant
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
St. Joseph County (574) 291-6722
MRS. PENNY R FITZPATRICK OTR
Occupational Therapist
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
St. Joseph County (574) 291-6722
ANALYN ABELLA PT
Physical Therapist
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
St. Joseph County (574) 291-6722
AMY JONES COTA
Occupational Therapy Assistant
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
St. Joseph County (574) 291-6722
MARY TURCZYNSKI PTA
Physical Therapy Assistant
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
St. Joseph County (574) 291-6722
LISA WALTON SLP
Speech-Language Pathologist
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
St. Joseph County (574) 291-6722
SHANNON JACKSON REHAB TECH
Technician, Other
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
St. Joseph County (574) 291-6722
TAMARA DUJARDIN COTA
Occupational Therapy Assistant
1950 RIDGEDALE RD
SOUTH BEND, IN 46614
St. Joseph County (574) 291-6722

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 Stacey Phipps's NPI number?

The NPI number for Stacey Phipps is 1265716146. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Where is Stacey Phipps located?

Stacey Phipps practices at 1950 Ridgedale Rd, South Bend, IN 46614. The listed phone number is (574) 291-6722.

What is Stacey Phipps's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Stacey Phipps was last updated on October 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.