VANNONI LIVING CENTER
NPI 1578980561
Assisted Living Facility in Mishawaka, IN

Q: What is Community Development Corp Of Mishawaka, Indiana's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since March 27, 2014CLIA 15D2060266 · Waiver

500 LINCOLN WAY EAST, MISHAWAKA, IN 46544(574) 855-3937(574) 855-3510 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Vannoni Living Center NPPES

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

VANNONI LIVING CENTER (NPI 1578980561) is a healthcare organization registered as an assisted living facility in Mishawaka, Indiana and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Mitchell Frank Craven, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578980561

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCOMMUNITY DEVELOPMENT CORP OF MISHAWAKA, INDIANA

Location Address500 LINCOLN WAY EASTMishawaka, IN 46544-2266

Mailing Address500 Lincoln Way EastMishawaka, IN 46544-2266 · (574) 855-3937 · Fax (574) 855-3510

Phone(574) 855-3937

Fax(574) 855-3510

Organization SubpartNo

Authorized OfficialMitchell Frank CravenAdministrator · (574) 855-3937

Enumeration DateMarch 27, 2014

Last NPPES UpdateJuly 16, 2024

✔ NPI 1578980561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in IN · 12-012688-2

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

500 LINCOLN WAY EAST, Mishawaka, IN 46544

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Other Names 1

Doing Business AsVannoni Living Center

Other Identifiers 1

Medicaid220126881IN

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 15D2060266

5 Vannoni Living Center · Mishawaka, IN

Active · expires Jun 9, 2027

CLIA Number15D2060266

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 10, 2025

Certificate Expiration DateJune 9, 2027

Laboratory DirectorHemmington Mwanza

Laboratory Phone(574) 855-3937

Laboratory Location5 Vannoni Living Center500 Lincoln Way East, Mishawaka, IN 46544

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Community Development Corp Of Mishawaka, Indiana's NPI number?

The NPI number for Community Development Corp Of Mishawaka, Indiana is 1578980561. It was assigned to this organization in the NPPES registry on March 27, 2014. The provider is doing business as Vannoni Living Center.

Where is Community Development Corp Of Mishawaka, Indiana located?

Community Development Corp Of Mishawaka, Indiana is located at 500 Lincoln Way East, Mishawaka, IN 46544. The listed phone number is (574) 855-3937.

What is Community Development Corp Of Mishawaka, Indiana's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Community Development Corp Of Mishawaka, Indiana hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2060266) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Development Corp Of Mishawaka, Indiana was last updated on July 16, 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.