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TARA EUGENIA MATHIS
NPI 1346087053
Home Health in South Bend, IN

Active since July 10, 2024
1657 COMMERCE DR STE 8B, SOUTH BEND, IN 46628(574) 367-0395(844) 894-8398 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2024, Jul 10, 2024 (2 updates tracked since 2024).

About Tara Eugenia Mathis NPPES

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

TARA EUGENIA MATHIS (NPI 1346087053) is an individual home health provider in South Bend, Indiana and active in the NPI registry since July 2024. She maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1346087053
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameTARA EUGENIA MATHIS
Location Address1657 COMMERCE DR STE 8BSouth Bend, IN 46628-1542
Mailing Address20200 Miller RdSouth Bend, IN 46614-9432 · (574) 367-0395
Phone(574) 367-0395
Fax(844) 894-8398
Sole ProprietorYes
Enumeration DateJuly 10, 2024
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1346087053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1657 COMMERCE DR STE 8B, South Bend, IN 46628
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Secondary Practice Location 1

Location 1315 Chapin StSouth Bend, IN 46601-2542 · Phone (574) 367-0395 · Fax (844) 894-8398

Other Identifiers 2

Medicaid61-1857998IN
Other61-1857998IN · Internal Revenue Services

Other Providers at the Same Location NPPES

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

MAKING A DIFFERENCE LLC
Home Health
1657 COMMERCE DR STE 8B
SOUTH BEND, IN 46628
St. Joseph County (574) 367-0395

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 Tara Mathis's NPI number?

The NPI number for Tara Mathis is 1346087053. It was assigned to this individual provider in the NPPES registry on July 10, 2024.

Where is Tara Mathis located?

Tara Mathis practices at 1657 Commerce Dr Ste 8B, South Bend, IN 46628. The listed phone number is (574) 367-0395.

What is Tara Mathis's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Tara Mathis was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.