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THE ARC OF NORTHEAST INDIANA INC. NPI 1447313093


NPI Information

NPI: 1447313093
Provider Name: THE ARC OF NORTHEAST INDIANA INC.

Doing Business As: EASTER SEALS ARC OF NORTHEAST INDIANA

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1414 INWOOD DR
FORT WAYNE, IN
ZIP 46815
Phone: (260) 456-4534
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THE ARC OF NORTHEAST INDIANA INC. is an intermediate care facility mentally retarded in Fort Wayne, IN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. THE ARC OF NORTHEAST INDIANA INC. NPI is 1447313093. The provider is registered as an organization entity type.
The provider Is Doing Business As Easter Seals Arc Of Northeast Indiana.

The provider's business location address is:

1414 INWOOD DR
FORT WAYNE, IN
ZIP 46815-267
Phone: (260) 456-4534
Fax: (260) 745-5200

The provider's authorized official is Donna Elbrecht .
The authorized official title is President and has the following contact phone number (260) 456-4534.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 2/26/2013.


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
1315P00000XIntermediate Care Facility, Intellectual Disabilities2602I0002JN08INDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100233770MEDICAIDINDIANA

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: 4/28/2024

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