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

Stacey Phipps

Individual provider Nursing Facility/Intermediate Care Facility · NPI 1265716146

Stacey Phipps is a Nursing Facility/Intermediate Care Facility in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2011

Practice location Address checks out

1950 Ridgedale Rd
South Bend, IN 46614-2243
Phone: (574) 291-6722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 32001430A (IN)

Record details

NPI number1265716146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 10, 2011
Last updated in NPPESOctober 10, 2011
Mailing address2612 Southridge Dr, South Bend, IN 46614-1536

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