SULLIVAN SERVICES, INC. (NPI# 1306305438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306305438 |
| Entity Type | Organization |
| Organization Name | SULLIVAN SERVICES, INC. |
| Practice Address |
2789-b Maplecrest Rd Fort Wayne IN 46815 |
| Practice Telephone | 2604852424 |
| Practice Fax Number | 2609699932 |
| Mailing Telephone | 2604852424 |
| Mailing Fax Number | 2609699932 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | MR. JAMES SULLIVAN (PRESIDENT) |
| Authorized Official Telephone | 2604852424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SULLIVAN SERVICES, INC. | 5040 Pacific Highway, Ferndale, WA 98248 |
| Street Address |
2789-B MAPLECREST RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1568556249 | Harry J Reith | Dentist | 2807 Maplecrest Road, Fort Wayne, IN 46815 | 2006-10-03 |
| Find all providers in zip 46815 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887250 | Sykes Home Care, LLC | In Home Supportive Care | 5534 Saint Joe Rd, Fort Wayne, IN 46835-3328 | 2020-06-29 |
| 1679124028 | Compassionate Care Services | In Home Supportive Care | 5812 W Hills Rd, Fort Wayne, IN 46804-6358 | 2019-09-26 |
| 1316596786 | Infinity Home Care Agency Inc. | In Home Supportive Care | 7508 S Anthony Blvd, Fort Wayne, IN 46816-2523 | 2019-09-09 |
| 1992359632 | Hih Fort Wayne, LLC D/b/a | In Home Supportive Care | 820 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2019-07-31 |
| 1518402288 | Leap of Faith Enterprises, Inc. | In Home Supportive Care | 4110 Lower Huntington Rd, Fort Wayne, IN 46809-7900 | 2017-01-04 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1194171827 | Generation Home Care LLC | In Home Supportive Care | 5800 Fairfield Ave Ste 205, Fort Wayne, IN 46807-3400 | 2016-05-12 |
| 1356716237 | Foote Family Home Care, LLC | In Home Supportive Care | 7211 Miahqueah Ct, Fort Wayne, IN 46815-7943 | 2015-12-03 |
| 1508264870 | Attentive Resources, LLC | In Home Supportive Care | 3354 Garland Ave, Fort Wayne, IN 46805-1724 | 2014-12-18 |
| 1568865970 | Lutheran Life Villages Home Healthcare Inc | In Home Supportive Care | 8151 Glencarin Blvd, Fort Wayne, IN 46804-5799 | 2014-09-29 |
| 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.