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LTC Facility Directory for MISHAWAKA Created on: 07/30/2020 Posted to the Web on: 08/12/2020 HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY d/b/a CREEKSIDE VILLAGE 1420 E DOUGLAS RD MISHAWAKA, IN 46545 Administrator: ERIN GINTER Tel: (574)307-7200 Fax: (574)271-0193 License Number : 20-012329-1 Lic Expire Date: 06/30/2021 Bed Capacity: 100 0 SNF, 0 NF, 100 SNF/NF, 0 NCC, 0 RES HENDRICKS COUNTY HOSPITAL d/b/a GOLDEN LIVING CENTER-FOUNTAINVIEW 609 W TANGLEWOOD LN MISHAWAKA, IN 46545 Administrator: RAYNE WISE Tel: (574)277-2500 Fax: (574)273-5314 License Number : 19-000094-1 Lic Expire Date: 08/31/2020 Bed Capacity: 130 0 SNF, 0 NF, 130 SNF/NF, 0 NCC, 0 RES HENDRICKS COUNTY HOSPITAL d/b/a GOLDEN LIVING CENTER-MISHAWAKA 811 E 12TH STREET MISHAWAKA, IN 46544 Administrator: JONATHAN FRAZIER Tel: (574)259-1917 Fax: (574)256-9825 License Number : 19-000045-1 Lic Expire Date: 08/31/2020 Bed Capacity: 87 0 SNF, 0 NF, 87 SNF/NF, 0 NCC, 0 RES MISHAWAKA CARE GROUP LLC d/b/a HERITAGE POINT ALZHEIMER'S SPECIAL CARE CENTER 1215 TRINITY PLACE MISHAWAKA, IN 46545 Administrator: ROGER D. GARMENDIA Tel: (574)247-7400 Fax: (574)247-7399 License Number : 20-013330-1 Lic Expire Date: 06/30/2021 Bed Capacity: 66 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 66 RES BTN LLC d/b/a NORTH WOODS VILLAGE AT EDISON LAKES 1409 E DAY ROAD MISHAWAKA, IN 46545 Administrator: MARTIN LEBBIN Tel: (574)247-1866 Fax: (574)247-7890 License Number : 20-013236-1 Lic Expire Date: 06/30/2021 Bed Capacity: 62 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 62 RES SOUTH BEND RETIREMENT LLC d/b/a PRIMROSE OF MISHAWAKA 820 FULMER ROAD MISHAWAKA, IN 46544 Administrator: DEEJRA LEE Tel: (574)259-3211 Fax: ( ) - License Number : 20-013439-1 Lic Expire Date: 12/31/2020 Bed Capacity: 45 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 45 RES MISHAWAKA RCF LP d/b/a SILVER BIRCH OF MISHAWAKA 3630 HICKORY ROAD MISHAWAKA, IN 46545 Administrator: STACY DEMEESTER Tel: (574)252-7225 Fax: ( ) - License Number : 20-014260-1 Lic Expire Date: 06/30/2021 Bed Capacity: 125 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 125 RES HANCOCK REGIONAL HOSPITAL d/b/a SPRENGER HEALTH CARE OF MISHAWAKA 60257 BODNAR BLVD MISHAWAKA, IN 46544 Administrator: RAVAUN CARROLL Tel: (574)222-1234 Fax: (574)222-1235 License Number : 20-013017-1 Lic Expire Date: 12/31/2020 Bed Capacity: 100 50 SNF, 0 NF, 20 SNF/NF, 0 NCC, 30 RES GAHC3 MISHAWAKA IN ALF TRS SUB LLC d/b/a TANGLEWOOD TRACE 530 W TANGLEWOOD LN MISHAWAKA, IN 46545 Administrator: BARBARA GAWEL Tel: (574)277-4310 Fax: (574)277-6509 License Number : 20-009669-1 Lic Expire Date: 06/30/2021 Bed Capacity: 149 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 149 RES COMMUNITY DEVELOPMENT CORPORATION OF MISHAWAKA, IN d/b/a VANNONI LIVING CENTER, THE 500 LINCOLNWAY EAST MISHAWAKA, IN 46544 Administrator: HEMMINGTON MWANZA Tel: (574)855-3937 Fax: (574)258-1741 License Number : 19-012688-1 Lic Expire Date: 09/30/2020 Bed Capacity: 46 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 46 RES TRIAD SENIOR LINVING III LP d/b/a WATERFORD AT EDISON LAKES, THE 1025 PARK PLACE MISHAWAKA, IN 46545 Administrator: TONYA TAGUE-O'DELL Tel: (574)247-1552 Fax: ( ) - License Number : 19-013331-1 Lic Expire Date: 11/30/2020 Bed Capacity: 138 0 SNF, 0 NF, 0 SNF/NF, 0 NCC, 138 RES
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