GAHC3 MISHAWAKA IN ALF TRS SUB LLC NPI 1205216942

NPI Information

  • NPI: 1205216942
  • Provider Name: GAHC3 MISHAWAKA IN ALF TRS SUB, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: TANGLEWOOD TRACE
  • Address: 530 TANGLEWOOD LN
    MISHAWAKA, IN
    ZIP 46545
  • Phone: (317) 324-9563

Map and Directions

Get Directions

NPI Details

GAHC3 MISHAWAKA IN ALF TRS SUB, LLC is an assisted living facility in Mishawaka, IN. The provider is 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. GAHC3 MISHAWAKA IN ALF TRS SUB, LLC NPI is 1205216942. The provider is registered as an organization entity type.
The provider Is Doing Business As Tanglewood Trace.

The provider's business location address is:

530 TANGLEWOOD LN
MISHAWAKA, IN
ZIP 46545-627
Phone: (317) 324-9563

The provider's authorized official is Danny Prosky .
The authorized official title is Authorized Representative and has the following contact phone number (949) 270-9200.

The enumeration date for this NPI number is 6/8/2015 and was last updated on 6/8/2015.

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
1310400000XAssisted Living FacilityYes

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI