The Arc Of Northeast Indiana Inc. in Fort Wayne - Intermediate Care Facility, Intellectual Disabilities

The Arc Of Northeast Indiana Inc. - NPI 1942362769

The Arc Of Northeast Indiana Inc. is a Intermediate Care Facility, Intellectual Disabilities in Fort Wayne, Indiana. The Arc Of Northeast Indiana Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for The Arc Of Northeast Indiana Inc. is 1942362769. The last update date is 2021-02-25.

The Arc Of Northeast Indiana Inc.'s current location address is 4919 Coldwater Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604564534 and fax number 2607455200. The mailing address for The Arc Of Northeast Indiana Inc. is 4919 Coldwater Rd, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Arc Of Northeast Indiana Inc.
Address 4919 Coldwater Rd, Fort Wayne, Indiana
Phone Number 2604564534
Fax Number 2607455200
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Elbrecht Donna
Telephone Number 2604564534

NPI Number Detail

NPI Number 1942362769
Provider Enumeration Date 2006-12-15
Last Updated Date 2021-02-25

Provider Mailing Address Detail

Address 4919 Coldwater Rd
City Fort Wayne
State Indiana (IN)
Post Code 468255532
Phone Number 2604564534
Fax Number 2607455200

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 2602I0004JN0
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100233730 IN --

Post Comment/ Review Below

FAQs about The Arc Of Northeast Indiana Inc.

What is the unique provider identifier assigned to The Arc Of Northeast Indiana Inc.?

The The Arc Of Northeast Indiana Inc. has been issued the NPI (National Provider Identifier) 1942362769 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where The Arc Of Northeast Indiana Inc. is physically located?

The The Arc Of Northeast Indiana Inc. is physically situated at the following address: 4919 Coldwater Rd, Fort Wayne, IN, 468255532.

What is the The Arc Of Northeast Indiana Inc.'s specialty and taxonomy code?

The The Arc Of Northeast Indiana Inc.'s specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1942362769 to The Arc Of Northeast Indiana Inc.?

The Centers for Medicare & Medicaid Services assigned the 1942362769 to The Arc Of Northeast Indiana Inc. on 2006-12-15.

As of what date was the information pertaining to The Arc Of Northeast Indiana Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to The Arc Of Northeast Indiana Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-25.

Other Providers of Intermediate Care Facility, Intellectual Disabilities
Stanley Orkin Forman

NPI Number: 1730182858

Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA

Steven Victor Stryk

NPI Number: 1285637165

Address: 1600 S Canton Center Rd, Canton, MI

Charles Paul Sisco

NPI Number: 1124021639

Address: Po Box 65, Springdale, AR

Qamar U Arfeen

NPI Number: 1295738649

Address: 3406 College St, Beaumont, TX

Bruce A Polender

NPI Number: 1992707194

Address: 1836 South Ave, La Crosse, WI

Vanee Songsiridej

NPI Number: 1104820984

Address: 1836 South Ave, La Crosse, WI

Pankaj K Shah

NPI Number: 1710981113

Address: 8200 Wednesbury Ln, Houston, TX

Naheed Malik Qayyum

NPI Number: 1063417343

Address: 820 Lakeview Ln, Burr Ridge, IL

Jerome M Shier

NPI Number: 1841295714

Address: 11821 Winterset Ter, Potomac, MD

Geoffrey A. Rogers

NPI Number: 1265437255

Address: Po Box 2968, Elkhart, IN

Alan Jay Goodman

NPI Number: 1447255351

Address: 525 E 86th St Apt 8c, New York, NY

David Peter Wien

NPI Number: 1912904038

Address: 708 Greenbank Rd, Wilmington, DE

Frank Gotham Simon

NPI Number: 1336147065

Address: Po Box 6418, Louisville, KY

Robert Paul Harvey

NPI Number: 1538167259

Address: 856 J Clyde Morris Blvd, Newport News, VA

George A Sprecace

NPI Number: 1891792529

Address: 196 Parkway S, Waterford, CT