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HEARTH AT SYCAMORE VILLAGE NPI 1831652957


NPI Information

NPI: 1831652957
Provider Name: HEARTH AT SYCAMORE VILLAGE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
611 W COUNTY LINE RD S
FORT WAYNE, IN
ZIP 46814
Phone: (260) 625-4025
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HEARTH AT SYCAMORE VILLAGE is an assisted living facility in Fort Wayne, IN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. HEARTH AT SYCAMORE VILLAGE NPI is 1831652957. The provider is registered as an organization entity type.

The provider's business location address is:

611 W COUNTY LINE RD S
FORT WAYNE, IN
ZIP 46814-592
Phone: (260) 625-4025

The provider's authorized official is Dave Deffenbaugh .
The authorized official title is Executive Director and has the following contact phone number (260) 625-4025.

The enumeration date for this NPI number is 4/8/2019 and was last updated on 4/8/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

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

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.