IRONWOOD HEALTH AND REHABILITATION CENTER
NPI 1669544516
Skilled Nursing Facility in South Bend, IN

NPI Status: Active since November 15, 2006

Contact Information

1950 RIDGEDALE RD
SOUTH BEND, IN
ZIP 46614
Phone: (574) 291-6722
Fax: (574) 291-8768

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 15D0978853
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-03-2026

About IRONWOOD HEALTH AND REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Ironwood Health And Rehabilitation Center, a provider established in South Bend, Indiana operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1669544516 assigned on November 2006. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Ironwood Health And Rehabilitation Center. The authorized official of this NPI record is Donna Jo Maassen (Director Of Compliance)

NPI
1669544516
Provider Legal Name
INDIANA HEALTH AND REHABILITATION CENTERS
Other Organization Name
IRONWOOD HEALTH AND REHABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1950 RIDGEDALE RD SOUTH BEND, IN 46614
Location Phone
(574) 291-6722
Location Fax
(574) 291-8768
Mailing Address
111 W MICHIGAN ST MILWAUKEE, WI 53203
Mailing Phone
(414) 908-8119
Mailing Fax
(574) 291-8768
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2006
Last Update Date
01-31-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONNA JO MAASSEN

Authorized Official Title
DIRECTOR OF COMPLIANCE
Authorized Official Phone
(414) 908-8119

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
155103MEDICARE OSCAR/CERTIFICATION (06)IN 
100291540AMEDICAID (05)IN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D0978853
Facility Type
Physician Office
Certificate Effective Date
October 04, 2024
Certificate Expiration Date
October 03, 2026
Laboratory Director
ROBERT D. LEE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Ironwood Health And Rehabilitation Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for IRONWOOD HEALTH AND REHABILITATION CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669544516
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129104852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 0 + 4 + 8 + 5 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1669544516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174720650 TANYA M GOELLER PTA
Individual
Physical Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1174720676MRS. PENNY R FITZPATRICK OTR
Individual
Occupational Therapist1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1740487255 ANALYN ABELLA PT
Individual
Physical Therapist1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1255538609 AMY JONES COTA
Individual
Occupational Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1821295098 MARY TURCZYNSKI PTA
Individual
Physical Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1811194095 LISA WALTON SLP
Individual
Speech-Language Pathologist1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1144427329 SHANNON JACKSON REHAB TECH
Individual
Technician, Other1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1508063793 TAMARA DUJARDIN COTA
Individual
Occupational Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1326245531 BRETT MORTON PTA
Individual
Physical Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1811194251 DOROTHY HOWLAND PTA
Individual
Physical Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1225235583 TERRY PANTIG PTA
Individual
Physical Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1730386921 CARRIE ZEHFUS COTA
Individual
Occupational Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1962734822 JULIE STROHL
Individual
Physical Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1063796951MR. JOHN RAYMOND PARHM JR. P.T.A.
Individual
Physical Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1265716146 STACEY PHIPPS
Individual
Nursing Facility/Intermediate Care Facility1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1134403033MRS. JOANE CAMILLE WILLIAMS M.A.,CCC-SLP
Individual
Nursing Facility/Intermediate Care Facility1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 707-3970
1124302054 JHERI WHITE
Individual
Physical Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1154750859 LAURA SCHLINSKY MACCC/SLP
Individual
Speech-Language Pathologist1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1649609629 SARAH CYRIER PTA
Individual
Physical Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722
1104245695MRS. FATEMA LYNN CISCHKE COTA
Individual
Occupational Therapy Assistant1950 RIDGEDALE RD
SOUTH BEND, IN 46614
(574) 291-6722

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669544516, enumerated in the NPI registry as an "organization" on November 15, 2006

The provider is located at 1950 Ridgedale Rd South Bend, In 46614 and the phone number is (574) 291-6722

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 15D0978853 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on November 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.