PROFESSIONAL NURSING HOME HEALTH CARE LLC
NPI 1912620220
Home Health in Fort Wayne, IN

Active since September 21, 2022CLIA 15D2279707 · Waiver
1928 INWOOD DR, FORT WAYNE, IN 46815(260) 271-2711(260) 271-2710 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2026, Sep 8, 2025, Apr 12, 2023 and 1 more (4 updates tracked since 2022).

About Professional Nursing Home Health Care Llc NPPES

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

PROFESSIONAL NURSING HOME HEALTH CARE LLC (NPI 1912620220) is a healthcare organization registered as a home health in Fort Wayne, Indiana and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Lun Thang, Owner, as its authorized official.

NPPES Registry Identity

NPI1912620220
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePROFESSIONAL NURSING HOME HEALTH CARE LLC
Location Address1928 INWOOD DRFort Wayne, IN 46815-7111
Mailing Address1928 Inwood DrFort Wayne, IN 46815-7111 · (260) 271-2711
Fax(260) 271-2710
Organization SubpartNo
Authorized OfficialLun ThangOwner · (260) 271-2711
Enumeration DateSeptember 21, 2022
Last NPPES UpdateJanuary 12, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1912620220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
1928 INWOOD DR, Fort Wayne, IN 46815

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2279707

Professional Nursing Home Health Care · Fort Wayne, IN
Active · expires Apr 5, 2027
CLIA Number15D2279707
Laboratory TypeHome Health Agency
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorNatalie Carden
Laboratory Phone(260) 271-2711
Laboratory LocationProfessional Nursing Home Health Care1928 Inwood Drive, Fort Wayne, IN 46815
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Professional Nursing Home Health Care LLC's NPI number?

The NPI number for Professional Nursing Home Health Care LLC is 1912620220. It was assigned to this organization in the NPPES registry on September 21, 2022.

Where is Professional Nursing Home Health Care LLC located?

Professional Nursing Home Health Care LLC is located at 1928 Inwood Dr, Fort Wayne, IN 46815. The listed phone number is (260) 271-2711.

What is Professional Nursing Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Professional Nursing Home Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2279707) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Professional Nursing Home Health Care LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.