Icr South Bend Operating Subsidiary, LLC
NPI 1093664435 · Psychiatric Hospital · Mishawaka, IN
Icr South Bend Operating Subsidiary, LLC is a Psychiatric Hospital organization in Mishawaka, IN (NPI 1093664435).
Provider details
- NPI number
- 1093664435
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Organization subpart
- No
- Authorized official
- Tara Gurney, Authorized Official(561) 517-3400
Specialties & taxonomies
Hospitals
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Frequently asked questions
- What is Icr South Bend Operating Subsidiary, LLC's NPI number?
- Icr South Bend Operating Subsidiary, LLC's National Provider Identifier (NPI) is 1093664435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icr South Bend Operating Subsidiary, LLC?
- Icr South Bend Operating Subsidiary, LLC is classified in the NPPES registry as Psychiatric Hospital (Hospitals).
- Where is Icr South Bend Operating Subsidiary, LLC located?
- Icr South Bend Operating Subsidiary, LLC's practice location on file with NPPES is 215 W 4th St, Mishawaka, IN 46544-1917.
- What is Icr South Bend Operating Subsidiary, LLC's phone number?
- The practice phone number listed in the NPPES registry for Icr South Bend Operating Subsidiary, LLC is (574) 544-0207.
- Who is the authorized official for Icr South Bend Operating Subsidiary, LLC?
- The authorized official listed on Icr South Bend Operating Subsidiary, LLC's NPPES record is Tara Gurney, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icr South Bend Operating Subsidiary, LLC's NPI active?
- Yes — Icr South Bend Operating Subsidiary, LLC's NPI (1093664435) is active in the NPPES registry as of the last update on 2026-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.