ASTRUM WELLNESS AND RECOVERY LLC
NPI 1801575972
Preventive Medicine - Addiction Medicine in Fort Wayne, IN

Active since July 14, 2023
129 E DEWALD ST, FORT WAYNE, IN 46803(260) 280-3341 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Astrum Wellness And Recovery Llc NPPES

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

ASTRUM WELLNESS AND RECOVERY LLC (NPI 1801575972) is a healthcare organization registered as an addiction medicine in Fort Wayne, Indiana and active in the NPI registry since July 2023. The organization lists Kimberly Latibeaudier, Co Director, as its authorized official.

NPPES Registry Identity

NPI1801575972
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameASTRUM WELLNESS AND RECOVERY LLC
Location Address129 E DEWALD STFort Wayne, IN 46803-3317
Mailing Address2712 N Wells StFort Wayne, IN 46808-2102 · (317) 608-7856
Organization SubpartNo
Authorized OfficialKimberly LatibeaudierCo Director · (260) 280-3341
Enumeration DateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
NPI 1801575972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
129 E DEWALD ST, Fort Wayne, IN 46803

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 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 Astrum Wellness And Recovery LLC's NPI number?

The NPI number for Astrum Wellness And Recovery LLC is 1801575972. It was assigned to this organization in the NPPES registry on July 14, 2023.

Where is Astrum Wellness And Recovery LLC located?

Astrum Wellness And Recovery LLC is located at 129 E Dewald St, Fort Wayne, IN 46803. The listed phone number is (260) 280-3341.

What is Astrum Wellness And Recovery LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Astrum Wellness And Recovery LLC was last updated on July 14, 2023. 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.