GERALD DEAN MCCALEB


Address: 2525 Lake Ave, Fort Wayne, IN 46805-5407
Phone: 2604844153

GERALD DEAN MCCALEB (NPI# 1912485459) 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) 1912485459
Entity Type Individual
Full Name GERALD DEAN MCCALEB
Practice Address 2525 Lake Ave
Fort Wayne
IN 46805-5407
Practice Telephone 2604844153
Practice Fax Number 2604842337
Mailing Telephone 2604844153
Mailing Fax Number 2604842337
Enumeration Date 2018-08-06
Last Update Date 2018-08-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 1275614109 05

Office Location

Street Address 2525 LAKE AVE
City FORT WAYNE
State IN
Zip Code 46805-5407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699868893 Crossroad - Fort Wayne Childrens Home Residential Treatment Facility, Emotionally Disturbed Children 2525 Lake Ave, Fort Wayne, IN 46805-5407 2006-10-02
1215491519 Jeff Newman Case Manager/Care Coordinator 2525 Lake Ave, Fort Wayne, IN 46805-5407 2019-01-31
1861956161 Patricia Carol Ward Case Manager/Care Coordinator 2525 Lake Ave, Fort Wayne, IN 46805-5407 2019-01-31
1063996551 Sarah Noreen York Case Manager/Care Coordinator 2525 Lake Ave, Fort Wayne, IN 46805-5407 2018-09-20
1841774346 Candis Lea Luchnenko Case Manager/Care Coordinator 2525 Lake Ave, Fort Wayne, IN 46805-5407 2018-09-20
1093299976 Alan Dale Shupe Case Manager/Care Coordinator 2525 Lake Ave, Fort Wayne, IN 46805-5407 2018-09-18
1962985424 Matthew Brooks Flinn Case Manager/Care Coordinator 2525 Lake Ave, Fort Wayne, IN 46805-5407 2018-09-11
1962984260 Jon Robert Moseby Case Manager/Care Coordinator 2525 Lake Ave, Fort Wayne, IN 46805-5407 2018-09-04
1497236442 Katrina Louise Imber Case Manager/Care Coordinator 2525 Lake Ave, Fort Wayne, IN 46805-5407 2018-08-28
1487135869 Jackie Dean Vannatta Jr. Case Manager/Care Coordinator 2525 Lake Ave, Fort Wayne, IN 46805-5407 2018-08-24
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437766086 Jaron Mathews Ford Case Manager/Care Coordinator 2710 Northaven Ct, Fort Wayne, IN 46825-7108 2020-09-28
1982234191 Erin Hall Case Manager/Care Coordinator 5800 Faifield, Fort Wayne, IN 46807 2020-01-16
1194208348 Ametria Russell Case Manager/Care Coordinator 7209 Engle Rd, Fort Wayne, IN 46804-2238 2018-09-13
1376031674 Deanna S Lockett Case Manager/Care Coordinator 12625 Page Hill Ct, Fort Wayne, IN 46818-0012 2018-04-23
1104247337 Paytons Place, LLC Case Manager/Care Coordinator 409 East Cook Rd, Suite 100, Fort Wayne, IN 46825 2013-12-13
1427324219 Tonyetta Eley Case Manager/Care Coordinator 2419 Shadyoak Dr, Fort Wayne, IN 46806-5329 2012-03-27
1174657480 Robert Anthony Ford Case Manager/Care Coordinator 525 Oxford St., Fort Wayne, IN 46806 2007-03-16
1477635852 Aids Task Force, Inc. Case Manager/Care Coordinator 525 Oxford St, Fort Wayne, IN 46806-4177 2006-10-19
1528665700 Bryan Patrick Espinosa Case Manager/Care Coordinator 1825 Beacon St, Fort Wayne, IN 46805-4750 2020-10-01
1427655604 Mark Robert Adang Case Manager/Care Coordinator 1825 Beacon St, Fort Wayne, IN 46805-4750 2020-10-01
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Competitor

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City FORT WAYNE
Zip Code 46805

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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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