HELLENIC SENIOR LIVING OF MISHAWAKA
NPI 1902429822
Assisted Living Facility in Mishawaka, IN

Q: What is Hellenic Senior Living Of Mishawaka LLC's specialty?

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

Active since May 27, 2020CLIA 15D2187545 · Waiver

1540 S. LOGAN STREET, MISHAWAKA, IN 46544(574) 257-8629(574) 257-8634 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hellenic Senior Living Of Mishawaka NPPES

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

HELLENIC SENIOR LIVING OF MISHAWAKA (NPI 1902429822) is a healthcare organization registered as an assisted living facility in Mishawaka, Indiana and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Jennifer Bedolla, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1902429822

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameHELLENIC SENIOR LIVING OF MISHAWAKA LLC

Location Address1540 S. LOGAN STREETMishawaka, IN 46544

Mailing Address10706 Sky Prairie StFishers, IN 46038-7803 · (317) 845-3410 · Fax (317) 288-0816

Phone(574) 257-8629

Fax(574) 257-8634

Organization SubpartNo

Authorized OfficialJennifer BedollaDirector Of Operations · (317) 845-3410

Enumeration DateMay 27, 2020

Last NPPES UpdateMarch 20, 2024

NPPES CertifiedMarch 20, 2024

✔ NPI 1902429822 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.

1540 S. LOGAN STREET, Mishawaka, IN 46544

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Other Names 1

Doing Business AsHellenic Senior Living 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 15D2187545

Hellenic Senior Living Of Mishawaka, LLC · Mishawaka, IN

Active · expires Jul 1, 2028

CLIA Number15D2187545

Laboratory TypeAssisted Living Facility

Certificate Effective DateJuly 2, 2026

Certificate Expiration DateJuly 1, 2028

Laboratory DirectorLori A. Smith

Laboratory Phone(574) 257-8629

Laboratory LocationHellenic Senior Living Of Mishawaka, LLC1540 S Logan Street, 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 Hellenic Senior Living Of Mishawaka LLC's NPI number?

The NPI number for Hellenic Senior Living Of Mishawaka LLC is 1902429822. It was assigned to this organization in the NPPES registry on May 27, 2020. The provider is doing business as Hellenic Senior Living Of Mishawaka.

Where is Hellenic Senior Living Of Mishawaka LLC located?

Hellenic Senior Living Of Mishawaka LLC is located at 1540 S. Logan Street, Mishawaka, IN 46544. The listed phone number is (574) 257-8629.

What is Hellenic Senior Living Of Mishawaka LLC's specialty?

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

Does Hellenic Senior Living Of Mishawaka LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2187545) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hellenic Senior Living Of Mishawaka LLC was last updated on March 20, 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.