Organization · Type 2 NPI

Rehabilitation Hospital of Northern Indiana, LLC

Rehabilitation Hospital · Mishawaka, IN

NPI number 1639719602 Active

Practice location

4807 Edison Lakes Parkway
Mishawaka, IN 46545-1112

Call (574) 243-7727 Map

Fax (574) 243-7728

Mailing address

1024 N Galloway Ave Ste 102
Mesquite, TX 75149-2434

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Hospital Primary	283X00000X	None listed

Rehabilitation Hospital: A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

NPI record

NPI: 1639719602
Entity type: Organization (Type 2)
Issued: Jan 8, 2020
Last updated: Nov 14, 2025
Status: Active

Other names

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Rehabilitation Hospital of Northern Indiana · doing business as
Rehabilitation Hospital of Northern Indiana · doing business as

Authorized official

Denise Kann
Vice President and Secretary
(972) 216-2299

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639719602

Rehabilitation Hospital of Northern Indiana, LLC's National Provider Identifier is 1639719602, issued on Jan 8, 2020. The primary taxonomy on file is Rehabilitation Hospital (283X00000X), and the practice location is in Mishawaka, IN. The record was last updated on Nov 14, 2025.