EASTER SEALS ARC OF NORTHEAST INDIANA
NPI 1407919236
Intermediate Care Facility, Intellectual Disabilities in Fort Wayne, IN
- Organization
- Intermediate Care Facility, Intellectual...
About EASTER SEALS ARC OF NORTHEAST INDIANA
This page provides the complete NPI Profile along with additional information for Easter Seals Arc Of Northeast Indiana, a provider established in Fort Wayne, Indiana operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1407919236 assigned on December 2006. The practitioner's primary taxonomy code is 315P00000X with license number 2602B0001JN08 (IN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Easter Seals Arc Of Northeast Indiana. The authorized official of this NPI record is Mr. Stephen Hinkle (President)
- NPI
- 1407919236 Verify this NPI
- Provider Legal Name
- THE ARC OF NORTHEAST INDIANA INC.
- Other Organization Name
- EASTER SEALS ARC OF NORTHEAST INDIANA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2522 THOMPSON AVE FORT WAYNE, IN 46807
- Location Phone
- (260) 456-4534
- Location Fax
- (260) 745-5200
- Mailing Address
- 4919 COLDWATER RD FORT WAYNE, IN 46825
- Mailing Phone
- (260) 456-4534
- Mailing Fax
- (260) 745-5200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 2602B0001JN08
- License State
- IN
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407919236, enumerated as an "organization" on December 19, 2006.
The provider is located at 2522 THOMPSON AVE FORT WAYNE, IN 46807 and the phone number is (260) 456-4534.
Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
