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Organization

Michiana Mental Health Care, LLC.

NPI Record: ActiveClinic/Center — Adult Mental Health
NPI1205315033
Mishawaka, Indiana

Provider's NPPES record last updated: August 22, 2018

Overview

Entity Type
Organization
NPI
1205315033
Primary Specialty
Clinic/Center — Adult Mental Health
Practice Location
Mishawaka, Indiana
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 4:51 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinic/Center

    Adult Mental Health

    Ambulatory Health Care Facilities

    Primary

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

    Taxonomy code 261QM0850X
  • Assisted Living Facility

    Assisted Living, Mental Illness

    Nursing & Custodial Care Facilities

    A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

    Taxonomy code 3104A0625X
  • Intermediate Care Facility, Mental Illness

    Nursing & Custodial Care Facilities

    A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

    Taxonomy code 310500000X
  • Skilled Nursing Facility

    Nursing & Custodial Care Facilities

    (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

    Taxonomy code 314000000X

Provider-Reported License Information

Clinic/Center (Indiana)
71006282A
Assisted Living Facility (Indiana)
71016282A
Intermediate Care Facility, Mental Illness (Indiana)
71016282A
Skilled Nursing Facility (Indiana)
71016282A
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

210 S Race St

Mishawaka, Indiana 46544

Phone: (574) 220-7084

Additional Practice Location

14691 Copper Penny Dr

Granger, Indiana 46530-8304

Phone: (574) 220-7084

Record Information

Enumeration Date
August 13, 2018
Provider's NPPES Record Last Updated
August 22, 2018
NPISignal NPPES Dataset
August 2026

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