TANGLEWOOD TRACE
NPI 1588968416
Assisted Living Facility in Mishawaka, IN

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

Active since January 07, 2011

530 TANGLEWOOD LN, MISHAWAKA, IN 46545(574) 277-4310 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tanglewood Trace NPPES

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

TANGLEWOOD TRACE (NPI 1588968416) is a healthcare organization registered as an assisted living facility in Mishawaka, Indiana and active in the NPI registry since January 2011. The organization lists John Moore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1588968416

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameARV ASSISTED LIVING, INC.

Location Address530 TANGLEWOOD LNMishawaka, IN 46545-2627

Mailing Address530 Tanglewood LnMishawaka, IN 46545-2627 · (574) 277-4310

Phone(574) 277-4310

Organization SubpartYes

Authorized OfficialJohn MooreCeo · (502) 779-7608

Enumeration DateJanuary 7, 2011

✔ NPI 1588968416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

530 TANGLEWOOD LN, Mishawaka, IN 46545

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