SPRINGHEALTH INTEGRATED CARE, INC. (NPI# 1871906917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871906917 |
| Entity Type | Organization |
| Organization Name | SPRINGHEALTH INTEGRATED CARE, INC. |
| Practice Address |
4410 Executive Blvd Fort Wayne IN 46808-1135 |
| Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
| Practice Telephone | 5022970133 |
| Practice Fax Number | 5022970289 |
| Mailing Telephone | 5022970133 |
| Mailing Fax Number | 5022970289 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | MS. MARY A PANK (PARALEGAL) |
| Authorized Official Telephone | 5024202666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | IN | Agencies |
| Street Address |
4410 EXECUTIVE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46808-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093228686 | Haley Darr | Behavioral Analyst | 4410 Executive Blvd, Fort Wayne, IN 46808-1135 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1396142063 | Christina Ryder | Specialist/Technologist | 3946 Iceway, Fort Wayne, IN 46808 | 2014-11-25 |
| 1912090440 | Neighborcare of Indiana, LLC | Pharmacy | 3402 Congressional Pkwy, Ft. Wayne, IN 46808 | 2006-10-02 |
| 1619945888 | Beth Ann Herrell | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2006-03-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1750851168 | Tyler Cheney | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-28 |
| 1487123550 | Michaela Mcguire | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-19 |
| 1861961088 | Olivia Marquardt | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-16 |
| Find all providers in zip 46808 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1174163844 | Neighborhood Mentoring Academy Inc. | Community/Behavioral Health | 916 E Hawthorne St, Fort Wayne, IN 46806-3144 | 2020-01-10 |
| 1336604883 | Christman Consulting, LLC | Community/Behavioral Health | 1623 Fairhill Rd, Fort Wayne, IN 46808-3026 | 2019-02-08 |
| 1093200214 | Sky Point Social Services | Community/Behavioral Health | 9434 Lima Rd Ste C, Fort Wayne, IN 46818-8934 | 2018-06-29 |
| 1689194615 | A.i.d. Social Services | Community/Behavioral Health | 10323 Dawsons Creek Blvd Ste A, Fort Wayne, IN 46825-1910 | 2017-06-21 |
| 1598212326 | Infinite Journey, LLC | Community/Behavioral Health | 9910 Dupont Circle Dr E, Ste 140, Fort Wayne, IN 46825-1617 | 2016-09-09 |
| 1346601366 | Fort Wayne Clubhouse, Inc | Community/Behavioral Health | 3327 Lake Ave, Fort Wayne, IN 46805-5529 | 2016-03-18 |
| 1154747632 | Gret Machlan LLC | Community/Behavioral Health | 2200 Lake Ave Ste 125, Fort Wayne, IN 46805-5358 | 2014-03-08 |
| 1386905677 | Comprehensive Mental Health Services and Consultin | Community/Behavioral Health | 1517 Kentucky Ave, Fort Wayne, IN 46805-5003 | 2012-06-03 |
| 1982912739 | Whitington Homes & Services for Children and Families, Inc | Community/Behavioral Health | 2423 Fairfield Ave, Fort Wayne, IN 46807-1210 | 2010-09-15 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46808 |
Please comment or provide details below to improve the information on SPRINGHEALTH INTEGRATED CARE, INC..
| 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.