A.I.D. RESIDENTIAL SERVICES LLC NPI 1700248564

NPI Information

  • NPI: 1700248564
  • Provider Name: A.I.D. RESIDENTIAL SERVICES, LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 10319 DAWSONS CREEK BLVD STE E
    FORT WAYNE, IN
    ZIP 46825
  • Phone: (260) 414-4713

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NPI Details

A.I.D. RESIDENTIAL SERVICES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Fort Wayne, IN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. A.I.D. RESIDENTIAL SERVICES, LLC NPI is 1700248564. The provider is registered as an organization entity type.

The provider's business location address is:

10319 DAWSONS CREEK BLVD STE E
FORT WAYNE, IN
ZIP 46825-911
Phone: (260) 414-4713

The provider's authorized official is Christina Kinnaley .
The authorized official title is Program Administrator and has the following contact phone number (260) 444-3433.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 3/22/2016.

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 License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 11/21/2025

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