The South Bend Clinic LLC
NPI 1124791587 · Durable Medical Equipment & Medical Supplies · Mishawaka, IN
Enrolled with Medicare as Dme Supplier - Multi-Specialty - Physician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The South Bend Clinic LLC is a Durable Medical Equipment & Medical Supplies organization in Mishawaka, IN (NPI 1124791587).
Provider details
- NPI number
- 1124791587
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jennifer Hiler, Credentialing Coordinator(574) 239-1567
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES 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
Other names (DBA / former)
- Other name
- The South Bend Clinic Day Road
- Other name
- The South Bend Clinic Day Road
Registry dates
- Enumerated
- 2021-07-30
- Last updated
- 2022-11-03
- Certified
- 2022-11-03
Frequently asked questions
- What is The South Bend Clinic LLC's NPI number?
- The South Bend Clinic LLC's National Provider Identifier (NPI) is 1124791587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The South Bend Clinic LLC?
- The South Bend Clinic LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is The South Bend Clinic LLC located?
- The South Bend Clinic LLC's practice location on file with NPPES is 301 E Day Rd, Mishawaka, IN 46545-3455.
- What is The South Bend Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for The South Bend Clinic LLC is (574) 299-2450.
- Does The South Bend Clinic LLC accept Medicare?
- The South Bend Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The South Bend Clinic LLC?
- The authorized official listed on The South Bend Clinic LLC's NPPES record is Jennifer Hiler, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The South Bend Clinic LLC's NPI active?
- Yes — The South Bend Clinic LLC's NPI (1124791587) is active in the NPPES registry as of the last update on 2022-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.