Gahc3 Mishawaka in Alf Trs Sub, LLC
NPI 1205216942 · Assisted Living Facility · Mishawaka, IN
Gahc3 Mishawaka in Alf Trs Sub, LLC is a Assisted Living Facility organization in Mishawaka, IN (NPI 1205216942).
Provider details
- NPI number
- 1205216942
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Danny Prosky, Authorized Representative(949) 270-9200
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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)
- Doing business as
- Tanglewood Trace
Registry dates
- Enumerated
- 2015-06-08
- Last updated
- 2015-06-08
Frequently asked questions
- What is Gahc3 Mishawaka in Alf Trs Sub, LLC's NPI number?
- Gahc3 Mishawaka in Alf Trs Sub, LLC's National Provider Identifier (NPI) is 1205216942, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gahc3 Mishawaka in Alf Trs Sub, LLC?
- Gahc3 Mishawaka in Alf Trs Sub, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Gahc3 Mishawaka in Alf Trs Sub, LLC located?
- Gahc3 Mishawaka in Alf Trs Sub, LLC's practice location on file with NPPES is 530 Tanglewood Ln, Mishawaka, IN 46545-2627.
- What is Gahc3 Mishawaka in Alf Trs Sub, LLC's phone number?
- The practice phone number listed in the NPPES registry for Gahc3 Mishawaka in Alf Trs Sub, LLC is (317) 324-9563.
- Who is the authorized official for Gahc3 Mishawaka in Alf Trs Sub, LLC?
- The authorized official listed on Gahc3 Mishawaka in Alf Trs Sub, LLC's NPPES record is Danny Prosky, Authorized Representative. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gahc3 Mishawaka in Alf Trs Sub, LLC's NPI active?
- Yes — Gahc3 Mishawaka in Alf Trs Sub, LLC's NPI (1205216942) is active in the NPPES registry as of the last update on 2015-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.