HEALTHY SCHOOLS INDIANA LLC


Address: 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036
Phone: 5712891765

HEALTHY SCHOOLS INDIANA LLC (NPI# 1871074732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871074732
Entity Type Organization
Organization Name HEALTHY SCHOOLS INDIANA LLC
Practice Address 6605 E State Blvd Ste 9
Fort Wayne
IN 46815-7036
Mailing Address 3546 Saint Johns Bluff Rd S Unit 113
Jacksonville
FL 32224-2714
Practice Telephone 5712891765
Mailing Telephone 9043795997
Enumeration Date 2018-08-28
Last Update Date 2018-08-28
Authorized Official Name DONALD BOSELLI JR. (PRESIDENT)
Authorized Official Telephone 9043795997
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 6605 E STATE BLVD STE 9
City FORT WAYNE
State IN
Zip Code 46815-7036

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1689943409 Kendall Joan Labrash Physical Therapist 4251 Lahmeyer Rd., Fort Wayne, IN 46815 2011-12-22
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1962055152 Carehalo Ohio LLC General Practice 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 2019-07-17
1801138102 Family Health Practitioners, LLC General Practice 909 River Oak Run, Fort Wayne, IN 46804-3543 2013-03-25
1679836910 Innovative Professional Service LLC General Practice 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630 2012-06-21
1003134123 Aptcare In 1 General Practice 11718 Woodstream Ridge Ct, Fort Wayne, IN 46845-1908 2010-05-13
1104395680 Regen Med of Indiana LLC General Practice 5931 Stoney Creek Dr, Fort Wayne, IN 46825-4401 2018-11-14
1750743381 Aptcare LLC General Practice 11718 Woodstream Ridge Ct, Fort Wayne, IN 46845-1908 2016-03-23
1619044047 Robert L Arnold Dds Inc General Practice 5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3437 2006-11-29
1083726848 Robert L Arnold General Practice 5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3437 2006-08-31
1518909985 Qhg of Fort Wayne Company LLC General Practice 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 2006-06-12
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Competitor

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City FORT WAYNE
Zip Code 46815

Improve Information

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Dataset Information

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.

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