EXTENDED CARE SPECIALISTS INC NPI 1134146079

NPI Information

NPI: 1134146079
Provider Name: EXTENDED CARE SPECIALISTS, INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
3512 STELLHORN RD
FORT WAYNE, IN
ZIP 46815
Phone: (260) 483-9081
Get Directions

EXTENDED CARE SPECIALISTS, INC is an adult medicine family medicine in Fort Wayne, IN. The provider is definition to come. EXTENDED CARE SPECIALISTS, INC NPI is 1134146079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3512 STELLHORN RD
FORT WAYNE, IN
ZIP 46815
Phone: (260) 483-9081
Fax: (260) 483-9196

The provider's authorized official is Jennifer Rucci .
The authorized official title is Owner and has the following contact phone number (303) 803-5879.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 8/31/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	207R00000X	Internal Medicine		No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	No
4	363A00000X	Physician Assistant		No
5	363L00000X	Nurse Practitioner		No
6	363LA2200X	Nurse Practitioner	Adult Health	No
7	363LF0000X	Nurse Practitioner	Family	No
8	207QA0505X	Family Medicine	Adult Medicine	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K304000	OTHER	KENTUCKY	GROUP NUMBER
2	224350	OTHER	INDIANA	GROUP NUMBER
3	H714830	OTHER	OHIO	GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »