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

Q: What is Indiana Center For Recovery Outpatient Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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: August 09, 2026.

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

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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.

SUSAN M ADAMS-HAYES FNP

Nurse Practitioner (Family)

7900 W JEFFERSON BLVD, SUITE 304
FORT WAYNE, IN 46804

Allen County (260) 969-6200

ABOITE EYE CARE, P.C.

Ophthalmology

7900 W JEFFERSON BLVD, SUITE 305
FORT WAYNE, IN 46804

Allen County (260) 436-2000

KELLY A ANDERSON NP

Nurse Practitioner (Adult Health)

7900 W JEFFERSON BLVD, SUITE 304
FORT WAYNE, IN 46804

Allen County (260) 969-6200

CARDIOVASCULAR ASSOCIATES OF NORTHEASTERN INDIANA LLC

Surgery (Vascular Surgery)

7900 W JEFFERSON BLVD, SUITE 303
FT WAYNE, IN 46804

Allen County (260) 436-6098

ALLEN COUNTY RETINAL SURGEONS, P.C.

Ophthalmology

7900 W JEFFERSON BLVD, SUITE 300
FORT WAYNE, IN 46804

Allen County (260) 436-2181

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

JUSTIN D. BROWN NP

Nurse Practitioner (Family)

7900 W JEFFERSON BLVD, SUITE 201
FORT WAYNE, IN 46804

Allen County (260) 432-2297

KENDALL S. RAY RD

Dietitian, Registered

7900 W JEFFERSON BLVD, SUITE 201
FORT WAYNE, IN 46804

Allen County (260) 432-2297

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 Indiana Center For Recovery Outpatient Services LLC's NPI number?

The NPI number for Indiana Center For Recovery Outpatient Services LLC is 1346949088. It was assigned to this organization in the NPPES registry on March 2, 2023.

Where is Indiana Center For Recovery Outpatient Services LLC located?

Indiana Center For Recovery Outpatient Services LLC is located at 7900 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (561) 635-2400.

What is Indiana Center For Recovery Outpatient Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Indiana Center For Recovery Outpatient Services LLC was last updated on December 14, 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.