IndividualActive
Stacey Phipps
NPI 1265716146 · Nursing Facility/Intermediate Care Facility · South Bend, IN
Provider details
- NPI number
- 1265716146
- Entity type
- Individual
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 32001430A (IN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1950 Ridgedale Rd
South Bend, IN 46614-2243
Phone: (574) 291-6722
Street-level locationGet directions
Mailing address
2612 Southridge Dr
South Bend, IN 46614-1536
Registry dates
- Enumerated
- 2011-10-10
- Last updated
- 2011-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.