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Icr Adolescents Operating Subsidiary, LLC

Children's Substance Abuse Rehabilitation Facility 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

1932058369

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Registry record

Entity type Organization (Type 2)
Legal business name Icr Adolescents Operating Subsidiary, LLC
Practice address 215 W 4th St, Mishawaka, IN, 46544
Enumeration date Jan 27, 2026
Last updated in NPPES Jul 10, 2026

Taxonomy & classification

261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Secondary
3245S0500X Children's Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

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 Adolescents Operating Subsidiary, LLC?
NPPES lists Tara Gurney (Authorized Official) as the authorized official for this organization.
What is the NPI number for Icr Adolescents Operating Subsidiary, LLC?
The NPI for Icr Adolescents Operating Subsidiary, LLC is 1932058369, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-10.