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INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
NPI 1346949088
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fort Wayne, IN

Active since March 02, 2023
7900 W JEFFERSON BLVD, FORT WAYNE, IN 46804(561) 635-2400 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2023, Mar 24, 2023, Mar 15, 2023 and 1 more (4 updates tracked since 2023).

About Indiana Center For Recovery Outpatient Services Llc NPPES

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

INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC (NPI 1346949088) is a healthcare organization registered as a mental health (including community mental health center) in Fort Wayne, Indiana and active in the NPI registry since March 2023. The organization lists Kirill Vesselov, President, as its authorized official.

NPPES Registry Identity

NPI1346949088
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameINDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
Location Address7900 W JEFFERSON BLVDFort Wayne, IN 46804-4128
Mailing Address2925 10th Ave NPalm Springs, FL 33461-3000
Phone(561) 635-2400
Organization SubpartYes
Authorized OfficialKirill VesselovPresident · (561) 305-0461
Enumeration DateMarch 2, 2023
Last NPPES UpdateDecember 14, 20234 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1346949088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
7900 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Providers at the Same Location NPPES 20

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

CARDIOVASCULAR ASSOCIATES OF NORTHEASTERN INDIANA LLC
Surgery (Vascular Surgery)
7900 W JEFFERSON BLVD, SUITE 303
FT WAYNE, IN 46804
Allen County (260) 436-6098
JONATHAN D. WALKER M.D.
Ophthalmology
7900 W JEFFERSON BLVD, SUITE 300
FORT WAYNE, IN 46804
Allen County (260) 436-2181
MATTHEW E. FARBER M.D.
Ophthalmology
7900 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-2181
STEPHEN D MCMURRAY MD
Internal Medicine (Nephrology)
7900 W JEFFERSON BLVD, SUITE 201
FORT WAYNE, IN 46804
Allen County (260) 969-7100
MICHAEL T ISENBERG MD
Internal Medicine (Gastroenterology)
7900 W JEFFERSON BLVD, SUITE 201
FORT WAYNE, IN 46804
Allen County (260) 969-7100
INDIANA MEDICAL ASSOCIATES, LLC
Internal Medicine
7900 W JEFFERSON BLVD, SUITE 201
FORT WAYNE, IN 46804
Allen County (260) 969-7100
ROCHELLE LORAINE JOHNSON N.P.
Nurse Practitioner
7900 W JEFFERSON BLVD, SUITE 304
FORT WAYNE, IN 46804
Allen County (260) 969-6200
COLON-RECTAL SURGEONS OF FORT WAYNE, PC
Colon & Rectal Surgery
7900 W JEFFERSON BLVD, SUITE 302
FORT WAYNE, IN 46804
Allen County (260) 435-1900

Frequently Asked Questions

What is INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1346949088, enumerated as an "organization" on March 02, 2023.

Where is the provider located?

The provider is located at 7900 W JEFFERSON BLVD FORT WAYNE, IN 46804 and the phone number is (561) 635-2400.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).