Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icr South Bend Operating Subsidiary, LLC

Organization Adult Mental Health Clinic/Center · NPI 1093664435

Icr South Bend Operating Subsidiary, LLC is an Adult Mental Health Clinic/Center in Mishawaka, Indiana. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 W 4th St
Mishawaka, IN 46544-1917
Phone: (574) 544-0207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1093664435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Gurney — Authorized Official · (561) 517-3400
NPI enumeratedJanuary 27, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address2925 10th Ave N, Palm Springs, FL 33461-3000

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