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Icr South Bend Operating Subsidiary, LLC

Psychiatric Hospital in Mishawaka, IN · enumerated 2026 · authorized official Tara Gurney, Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093664435

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Registry record

Entity type Organization (Type 2)
Legal business name Icr South Bend Operating Subsidiary, LLC
Practice address 215 W 4th St, Mishawaka, IN, 46544
Enumeration date Jan 27, 2026
Last updated in NPPES May 28, 2026

Taxonomy & classification

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
283Q00000X Psychiatric Hospital Hospitals Primary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary
323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Secondary
324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Secondary

Authorized official

Name Tara Gurney
Title Authorized Official

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Icr South Bend Operating Subsidiary, LLC?
NPPES lists Tara Gurney (Authorized Official) as the authorized official for this organization.
What is the NPI number for Icr South Bend Operating Subsidiary, LLC?
The NPI for Icr South Bend Operating Subsidiary, LLC is 1093664435, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-28.