THE ARC OF NORTHEAST INDIANA INC. (NPI# 1225191059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225191059 |
| Entity Type | Organization |
| Organization Name | THE ARC OF NORTHEAST INDIANA INC. |
| Other Organization Name | EASTER SEALS ARC OF NORTHEAST INDIANA |
| Practice Address |
4420 Woodstock Dr Fort Wayne IN 46815-6767 |
| Mailing Address |
4919 Coldwater Rd Fort Wayne IN 46825-5532 |
| Practice Telephone | 2604564534 |
| Practice Fax Number | 2607455200 |
| Mailing Telephone | 2604564534 |
| Mailing Fax Number | 2607455200 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | MS. DONNA ELBRECHT (PRESIDENT) |
| Authorized Official Telephone | 2604564534 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 2602B0006JN06 | IN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100243170 | 05 |
| Other Name | Type Code |
|---|---|
| Easter Seals ARC of Northeast Indiana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336202167 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 4422 Lake Ave, Fort Wayne, IN 46815-7224 | 2006-12-19 |
| 1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
| 1447313093 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 1414 Inwood Dr, Fort Wayne, IN 46815-7267 | 2006-12-18 |
| 1497818041 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 4724 Glenmary Dr, Fort Wayne, IN 46806-2695 | 2006-12-18 |
| 1649333204 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 8626 Stand Ridge Run, Fort Wayne, IN 46825-6266 | 2006-12-18 |
| 1942362769 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 5924 Abbott St, Fort Wayne, IN 46816-3814 | 2006-12-15 |
| 1417019241 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2524 Beechwood Cir, Fort Wayne, IN 46807-1201 | 2006-12-15 |
| Street Address |
4420 WOODSTOCK DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
| 1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
| 1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
| 1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
| 1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
| 1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
| 1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
| Find all providers in zip 46815 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689051757 | The Arc of Northeast Indiana, Inc. | Intermediate Care Facility, Mentally Retarded | 4720 Ashland Dr, Fort Wayne, IN 46835-1510 | 2015-04-28 |
| 1316194863 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 4915 Haffner Drive, Fort Wayne, IN 46825-3535 | 2008-08-26 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1700904869 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3335 Sanibel Dr, Fort Wayne, IN 46815-4755 | 2007-03-27 |
| 1285752782 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3814 Walden Run, Fort Wayne, IN 46815-5260 | 2007-03-26 |
| 1336202167 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 4422 Lake Ave, Fort Wayne, IN 46815-7224 | 2006-12-19 |
| 1407919236 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 2522 Thompson Ave, Fort Wayne, IN 46807-1051 | 2006-12-19 |
| 1447313093 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 1414 Inwood Dr, Fort Wayne, IN 46815-7267 | 2006-12-18 |
| 1497818041 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 4724 Glenmary Dr, Fort Wayne, IN 46806-2695 | 2006-12-18 |
| 1649333204 | The Arc of Northeast Indiana Inc. | Intermediate Care Facility, Mentally Retarded | 8626 Stand Ridge Run, Fort Wayne, IN 46825-6266 | 2006-12-18 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46815 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.