Organization
SCCI HOSPITALS OF AMERICA, LLC
Active
Other names
Kindred Hospital Northern Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE DILLON (ASSISTANT SECRETARY / AO)
(502) 596-7220
Entity
Organization
Contact information
Practice address
215 W 4TH ST, MISHAWAKA, IN 46544
(574) 251-8238
(574) 280-5889
Mailing address
680 S. 4TH ST., KH-2 REIMBURSEMENT, LOUISVILLE, KY 40202-2407
(502) 596-7220
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200292860A
—
IN
Enumeration date
10/24/2008
Last updated
08/27/2019
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