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IV HYDRATION VITAMIN THERAPY LLC
NPI 1083322473
Clinic/Center - Infusion Therapy in Fort Wayne, IN

Active since November 14, 2022
10020 AUBURN PARK DR STE A, FORT WAYNE, IN 46825(260) 705-7457 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2022, Nov 21, 2022, Nov 16, 2022 (3 updates tracked since 2022).

About Iv Hydration Vitamin Therapy Llc NPPES

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

IV HYDRATION VITAMIN THERAPY LLC (NPI 1083322473) is a healthcare organization registered as an infusion therapy in Fort Wayne, Indiana and active in the NPI registry since November 2022. The organization maintains a secondary practice location in Fort Wayne and lists Andrea Fast, Manager, as its authorized official.

NPPES Registry Identity

NPI1083322473
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameIV HYDRATION VITAMIN THERAPY LLC
Location Address10020 AUBURN PARK DR STE AFort Wayne, IN 46825-2389
Mailing Address2624 Barry Knoll WayFort Wayne, IN 46845-1938
Phone(260) 705-7457
Organization SubpartNo
Authorized OfficialAndrea FastManager · (765) 730-2130
Enumeration DateNovember 14, 2022
Last NPPES UpdateNovember 29, 20223 updates tracked since enumeration
NPPES CertifiedNovember 29, 2022
✔ NPI 1083322473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
10020 AUBURN PARK DR STE A, Fort Wayne, IN 46825
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Secondary Practice Location 1

Location 110106 DuPont Circle Dr EFort Wayne, IN 46825-1638 · Phone (260) 705-7547

Other Identifiers 3

Other1790220101IN · Npi
Other1881049161IN · Npi
Other1598785149IN · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 IV Hydration Vitamin Therapy LLC's NPI number?

The NPI number for IV Hydration Vitamin Therapy LLC is 1083322473. It was assigned to this organization in the NPPES registry on November 14, 2022.

Where is IV Hydration Vitamin Therapy LLC located?

IV Hydration Vitamin Therapy LLC is located at 10020 Auburn Park Dr Ste A, Fort Wayne, IN 46825. The listed phone number is (260) 705-7457.

What is IV Hydration Vitamin Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

When was this NPI record last updated?

The NPPES record for IV Hydration Vitamin Therapy LLC was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.