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POSSIBILITIES NORTHEAST, LLC
NPI 1063616340
Clinic/Center - Multi-Specialty in Fort Wayne, IN

Active since June 12, 2007
808 MILL LAKE ROAD, FORT WAYNE, IN 46845(260) 338-1241(260) 338-1231 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Possibilities Northeast, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POSSIBILITIES NORTHEAST, LLC (NPI 1063616340) is a healthcare organization registered as a multi-specialty in Fort Wayne, Indiana and active in the NPI registry since June 2007. The organization lists Nancy Moore, Director, as its authorized official.

NPPES Registry Identity

NPI1063616340
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePOSSIBILITIES NORTHEAST, LLC
Location Address808 MILL LAKE ROADFort Wayne, IN 46845-6400
Mailing Address808 Mill Lake RoadFort Wayne, IN 46845-6400 · (260) 338-1241 · Fax (260) 338-1231
Phone(260) 338-1241
Fax(260) 338-1231
Organization SubpartNo
Authorized OfficialNancy MooreDirector · (260) 338-1241
Enumeration DateJune 12, 2007
Last NPPES UpdateSeptember 5, 2007
✔ NPI 1063616340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
808 MILL LAKE ROAD, Fort Wayne, IN 46845
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE DIONNE YOUNG
Occupational Therapist
808 MILL LAKE ROAD
FORT WAYNE, IN 46845
Allen County (260) 338-1241
LISA A. PARNIN OTR
Occupational Therapist
808 MILL LAKE ROAD
FORT WAYNE, IN 46845
Allen County (260) 338-1241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Possibilities Northeast, LLC's NPI number?

The NPI number for Possibilities Northeast, LLC is 1063616340. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Possibilities Northeast, LLC located?

Possibilities Northeast, LLC is located at 808 Mill Lake Road, Fort Wayne, IN 46845. The listed phone number is (260) 338-1241.

What is Possibilities Northeast, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Possibilities Northeast, LLC was last updated on September 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.