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SILVER BIRCH OF MISHAWAKA
NPI 1639662596
Assisted Living Facility in Mishawaka, IN

Active since June 14, 2018CLIA 15D2160696 · Waiver
3630 HICKORY RD, MISHAWAKA, IN 46545(574) 252-7225 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Silver Birch Of Mishawaka NPPES

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

SILVER BIRCH OF MISHAWAKA (NPI 1639662596) is a healthcare organization registered as an assisted living facility in Mishawaka, Indiana and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Naila Towne, Controller, as its authorized official.

NPPES Registry Identity

NPI1639662596
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMISHAWAKA RCF LP
Location Address3630 HICKORY RDMishawaka, IN 46545
Mailing Address121 W Wacker Dr Ste 400Chicago, IL 60601-1781 · (312) 933-1523 · Fax (312) 488-1919
Phone(574) 252-7225
Organization SubpartNo
Authorized OfficialNaila TowneController · (312) 933-1523
Enumeration DateJune 14, 2018
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1639662596 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.
3630 HICKORY RD, Mishawaka, IN 46545
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Other Names 1

Doing Business AsSilver Birch Of Mishawaka

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 15D2160696

Silver Birch Of Mishawaka · Mishawaka, IN
Active · expires Jan 15, 2027
CLIA Number15D2160696
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorNatasha Welch
Laboratory Phone(574) 404-5781
Laboratory LocationSilver Birch Of Mishawaka3630 Hickory Road, Mishawaka, IN 46545
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

JACQUELYN O JACOBS
Physical Therapy Assistant
3630 HICKORY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 252-7225
MRS. DARLA J LINGLE PT
Physical Therapist
3630 HICKORY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 252-7225
TREVOR DAVID MANSPEAKER OTD, OTR
Occupational Therapist
3630 HICKORY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 252-7225
MRS. CHEYENNE S PRICE PTA
Physical Therapy Assistant
3630 HICKORY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 252-7225
AARON F STRONG OTR/L
Occupational Therapist
3630 HICKORY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 252-7225
CARMEN MARIE CHASTAIN OTR/L
Occupational Therapist
3630 HICKORY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 252-7225
MATTHEW JAMES FITZER DPT
Physical Therapist
3630 HICKORY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 252-7225

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 Mishawaka Rcf LP's NPI number?

The NPI number for Mishawaka Rcf LP is 1639662596. It was assigned to this organization in the NPPES registry on June 14, 2018. The provider is doing business as Silver Birch Of Mishawaka.

Where is Mishawaka Rcf LP located?

Mishawaka Rcf LP is located at 3630 Hickory Rd, Mishawaka, IN 46545. The listed phone number is (574) 252-7225.

What is Mishawaka Rcf LP's specialty?

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

Does Mishawaka Rcf LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2160696) is associated with this NPI, valid through January 15, 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 Mishawaka Rcf LP was last updated on November 30, 2023. 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.