# COLOMBE HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508677386
- **Authorized official:** YANNICK MUGISHA (CEO)
- **Authorized official phone:** (832) 210-4868

## Contact information

- **Practice address:** 738 CONNER DR, MISHAWAKA, IN 46544-5632
- **Practice address phone:** (832) 210-4868
- **Mailing address:** 738 CONNER DR, MISHAWAKA, IN 46544-5632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | — | — |

## Other

- **Enumeration date:** 01/20/2025
- **Last updated:** 01/20/2025