PARKVIEW HOSPITAL, INC. (NPI# 1710993761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710993761 |
| Entity Type | Organization |
| Organization Name | PARKVIEW HOSPITAL, INC. |
| Other Organization Name | PARKVIEW REHABILITATION |
| Practice Address |
2200 Randallia Dr Fort Wayne IN 46805-4638 |
| Mailing Address |
Po Box 5600 Fort Wayne IN 46895-5600 |
| Practice Telephone | 2603734000 |
| Practice Fax Number | 2603738446 |
| Mailing Telephone | 2603737008 |
| Mailing Fax Number | 2603737059 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-03-10 |
| Authorized Official Name | MR. MARK NAFZIGER (EXECUTIVE VP -- CFO) |
| Authorized Official Telephone | 2603737008 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARKVIEW HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 060050201 | IN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100268480A | 05 |
| Other Name | Type Code |
|---|---|
| Parkview Rehabilitation | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942428420 | Parkview Hospital, Inc. | Pharmacy | 11104 Parkview Circle Drive, Fort Wayne, IN 46845-1704 | 2007-04-23 |
| 1518962109 | Parkview Hospital, Inc. | Home Health | 1900 Carew St, Ste 6, Fort Wayne, IN 46805-4765 | 2005-06-20 |
| 1851927529 | Parkview Hospital, Inc. | Home Health | 1450 Production Rd Ste 100, Fort Wayne, IN 46808-1167 | 2020-03-13 |
| 1508164914 | Parkview Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2011-03-09 |
| 1669576997 | Parkview Hospital, Inc. | Surgery | 11109 Parkview Plaza Dr, Trauma Unit, Fort Wayne, IN 46845-1701 | 2006-09-08 |
| 1487662961 | Parkview Hospital, Inc. | Psychiatric Unit | 1720 Beacon St, Fort Wayne, IN 46805-4749 | 2006-08-03 |
| 1518975069 | Parkview Hospital, Inc. | Skilled Nursing Facility | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2006-08-03 |
| 1508872482 | Parkview Hospital, Inc. | Ambulance | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2006-07-31 |
| 1366407603 | Parkview Hospital, Inc. | General Acute Care Hospital | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2006-04-19 |
| 1922004183 | Parkview Hospital, Inc. | Hospice Care, Community Based | 1900 Carew St, Ste 6, Fort Wayne, IN 46805-4765 | 2005-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PARKVIEW HOSPITAL, INC. | 10501 Corporate Dr, Fort Wayne, IN 46845-1700 |
| Street Address |
2200 RANDALLIA DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508471 | Matthew Paul Ziccardi | Clinical Neuropsychologist | 2200 Randallia Dr, Fort Wayne, IN 46805 | 2005-06-20 |
| 1891308896 | Cameron Buzzard | Physical Therapist | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2020-08-28 |
| 1558985945 | Morgan Taylor Hilbert | Pharmacist | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2020-06-02 |
| 1952941908 | Lydia Hentz | Counselor | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2020-01-07 |
| 1326683228 | Nicole Marie Gaunt | Social Worker | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2019-11-14 |
| 1205490877 | Elisha Lynn Handshoe | Physical Medicine & Rehabilitation | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2019-04-29 |
| 1154884898 | Monique Brissette | Speech-Language Pathologist | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2019-04-10 |
| 1649733411 | Clarissa Burkett | Physical Therapy Assistant | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2019-04-09 |
| 1740743533 | Ross Tyler Nelson | Physical Therapist | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2019-04-09 |
| 1295298982 | Jennifer Ferguson | Occupational Therapist | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2019-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619317062 | Melanie Jane Shanks | Rehabilitation Unit | 4523 Fairlawn Pass, Fort Wayne, IN 46815-6039 | 2013-06-30 |
| 1033163407 | St Joseph Health System LLC | Rehabilitation Unit | 700 Broadway, Fort Wayne, IN 46802-1402 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013962984 | Saint Joseph Regional Medical Center South Bend Campus Inc | Rehabilitation Unit | 60205 Bodnar Blvd, Mishawaka, IN 46544-9342 | 2006-05-22 |
| 1609873124 | Indianapolis Osteopathic Hospital, Inc | Rehabilitation Unit | 3630 Guion Road, Indianapolis, IN 46222-1616 | 2005-06-30 |
| 1831554369 | La Porte Hospital Company LLC | Rehabilitation Unit | 1007 Lincolnway, La Porte, IN 46350-3201 | 2015-12-29 |
| 1417320979 | Indiana University Health Inc | Rehabilitation Unit | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2015-11-05 |
| 1558788927 | Laura Sanders | Rehabilitation Unit | 2339 S State Road 135, Greenwood, IN 46143-4800 | 2014-03-24 |
| 1811324775 | Progressivehealth of Indiana | Rehabilitation Unit | 150 N Rosenberger Ave, Evansville, IN 47712-6503 | 2013-10-08 |
| 1043579238 | St Vincent Hospital and Health Care Center Inc | Rehabilitation Unit | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2012-05-09 |
| 1225356389 | St. Vincent Health | Rehabilitation Unit | 8227 Northwest Blvd, Indianapolis, IN 46278-1387 | 2010-05-13 |
| 1528297207 | Cni Starke LLC | Rehabilitation Unit | 102 E Culver Rd, Knox, IN 46534-2216 | 2009-07-02 |
| 1962657379 | Knox Indiana Hospital Company LLC | Rehabilitation Unit | 102 E Culver Rd, Knox, IN 46534-2216 | 2008-11-26 |
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| City | FORT WAYNE |
| Zip Code | 46805 |
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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.