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SILVER BIRCH OF FORT WAYNE
NPI 1073006938
Assisted Living Facility in Fort Wayne, IN

Active since June 14, 2018CLIA 15D2162946 · Waiver
7125 S HANNA STREET, FORT WAYNE, IN 46816(260) 447-8811 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Silver Birch Of Fort Wayne NPPES

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

SILVER BIRCH OF FORT WAYNE (NPI 1073006938) is a healthcare organization registered as an assisted living facility in Fort Wayne, Indiana and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Naila Towne, Controller, as its authorized official.

NPPES Registry Identity

NPI1073006938
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFORT WAYNE AAL LP
Location Address7125 S HANNA STREETFort Wayne, IN 46816
Mailing Address121 W Wacker Dr Ste 400Chicago, IL 60601-1781 · (312) 933-1523 · Fax (312) 488-1919
Phone(260) 447-8811
Organization SubpartNo
Authorized OfficialNaila TowneController · (312) 933-1523
Enumeration DateJune 14, 2018
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1073006938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
7125 S HANNA STREET, Fort Wayne, IN 46816
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Other Names 1

Doing Business AsSilver Birch Of Fort Wayne

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2162946

Silver Birch Of Fort Wayne · Fort Wayne, IN
Active · expires Mar 4, 2027
CLIA Number15D2162946
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorAngela K. Otis
Laboratory Phone(260) 447-8811
Laboratory LocationSilver Birch Of Fort Wayne7125 S Hanna St, Fort Wayne, IN 46816
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fort Wayne Aal LP's NPI number?

The NPI number for Fort Wayne Aal LP is 1073006938. It was assigned to this organization in the NPPES registry on June 14, 2018. The provider is doing business as Silver Birch Of Fort Wayne.

Where is Fort Wayne Aal LP located?

Fort Wayne Aal LP is located at 7125 S Hanna Street, Fort Wayne, IN 46816. The listed phone number is (260) 447-8811.

What is Fort Wayne Aal LP's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Fort Wayne Aal LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2162946) is associated with this NPI, valid through March 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Wayne Aal LP was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.