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LANDMARK RECOVERY OF CARMEL LLC NPI 1720732076


NPI Information

NPI: 1720732076
Provider Name: LANDMARK RECOVERY OF CARMEL LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
60257 BODNAR BLVD
MISHAWAKA, IN
ZIP 46544
Phone: (574) 850-3071
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LANDMARK RECOVERY OF CARMEL LLC is a substance abuse rehabilitation facility in Mishawaka, IN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LANDMARK RECOVERY OF CARMEL LLC NPI is 1720732076. The provider is registered as an organization entity type.

The provider's business location address is:

60257 BODNAR BLVD
MISHAWAKA, IN
ZIP 46544-342
Phone: (574) 850-3071
Fax: (888) 505-8568

The provider's authorized official is Alicia Neal .
The authorized official title is Contracting Specialist and has the following contact phone number (615) 281-9050.

The enumeration date for this NPI number is 2/7/2022 and was last updated on 6/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300064066MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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