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THE CHILDREN'S CAMPUS INC. NPI 1659302461


NPI Information

NPI: 1659302461
Provider Name: THE CHILDREN'S CAMPUS, INC.
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1411 LINCOLN WAY W
MISHAWAKA, IN
ZIP 46544
Phone: (574) 259-5666
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THE CHILDREN'S CAMPUS, INC. is a community based residential treatment facility mental illness in Mishawaka, IN. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE CHILDREN'S CAMPUS, INC. NPI is 1659302461. The provider is registered as an organization entity type.

The provider's business location address is:

1411 LINCOLN WAY W
MISHAWAKA, IN
ZIP 46544-626
Phone: (574) 259-5666
Fax: (574) 255-6179

The provider's authorized official is Kristin Ermeti .
The authorized official title is Executive Director and has the following contact phone number (574) 259-5666.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 8/22/2020.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness43714INDIANAYes
2320800000XCommunity Based Residential Treatment Facility, Mental Illness43486INDIANAX
3320800000XCommunity Based Residential Treatment Facility, Mental Illness43738INDIANAX
4320800000XCommunity Based Residential Treatment Facility, Mental Illness42256INDIANAX
5322D00000XResidential Treatment Facility, Emotionally Disturbed Children32231INDIANAX
6323P00000XPsychiatric Residential Treatment Facility73718INDIANAX

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.