FAMILY CARE CENTER (NPI# 1407877657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407877657 |
| Entity Type | Organization |
| Organization Name | FAMILY CARE CENTER |
| Practice Address |
2821 Hillegas Rd Fort Wayne IN 46808-3859 |
| Practice Telephone | 2604711950 |
| Practice Fax Number | 2604711950 |
| Mailing Telephone | 2604711950 |
| Mailing Fax Number | 2604711950 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-08-26 |
| Authorized Official Name | CARLY R HAWKS (OFFICE MANAGER) |
| Authorized Official Telephone | 2604711950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200530260A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003013640 | Family Care Center | Case Management | 1970 E 17th St Ste 201, Idaho Falls, ID 83404-8048 | 2007-06-28 |
| 1831396480 | Family Care Center | Community/Behavioral Health | 1970 E 17th St Ste 206, Idaho Falls, ID 83404-8048 | 2007-06-28 |
| 1629406996 | Family Care Center | Clinical Nurse Specialist | 1109 Plaza Dr, Grundy, VA 24614-6780 | 2013-10-24 |
| 1922205574 | Family Care Center | Nurse Practitioner | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| 1700083342 | Family Care Center | Case Management | 1970 E 17th St Ste 206, Idaho Falls, ID 83404-8048 | 2007-06-28 |
| 1992902530 | Family Care Center | Psychiatry & Neurology | 1740 E 17th St Ste B, Idaho Falls, ID 83404-6375 | 2007-06-28 |
| 1275673089 | Family Care Center | Family Medicine | 941 Ocean Ave, Brooklyn, NY 11226-6715 | 2007-02-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY CARE CENTER | 2875 Highland Ave Ne, Hickory, NC 28601-8626 |
| Virginia Business Entities | FAMILY CARE CENTER INC. | 21556 Timberlake Road, Suite D, Lynchburg, Virginia 24502 |
| Virginia Business Entities | Family Care Center of Buchanan County LLC | Us Rte 460 West, Po Box 1440, Grundy, Virginia 24614 |
| Colorado Business Entities | Family Care Center, LLC | 2860 South Circle Dr, Suite100, Colorado Springs, CO 80906 |
| System for Award Management (SAM) Entities | FAMILY CARE CENTER, P.C. | 1001 Nw Canal Blvd Ste 101, Redmond, OR 97756-1697 |
| Oregon Corporations, Companies and Business Names | FAMILY CARE CENTER, P.C. | 1001 Canal Blvd Ste 101, Redmond, OR 97756 |
| Oklahoma Business Registrations | FAMILY CARE CENTERS OF OKLAHOMA, L.L.C. | 3621 Apollo, Po Box 72250 Corpus Christi Tx 78427 (mailing), Corpus Christi, TX 78413 |
| Oklahoma Business Registrations | FAMILY CARE CENTERS OF THE SOUTHWEST | 2222 Iowa Ave, Chickasha, OK 73018 |
| System for Award Management (SAM) Entities | FAMILY CARE CENTERS, INC | 206 E Brown St, East Stroudsburg, PA 18301-3006 |
| Street Address |
2821 HILLEGAS RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46808-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710135603 | Eileen Peters | Counselor | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2008-09-04 |
| 1285822320 | Kermit Randall Miller | Counselor | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2007-10-12 |
| 1598981649 | Amy Jo Aldrich | Marriage & Family Therapist | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2007-04-17 |
| 1487879680 | Margaret Sue Herb | Counselor | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2007-04-16 |
| 1780737502 | Timothy Allen Steenbergh | Psychologist | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2007-01-18 |
| 1952488702 | Terrie Lynn Walker | Counselor | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2006-11-01 |
| 1487744231 | Resa Kay Eckhart | Marriage & Family Therapist | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2006-10-13 |
| 1912095548 | Marc W Barnes | Counselor | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2006-10-10 |
| 1205935392 | Jerry Eugene Davis | Counselor | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2006-09-22 |
| 1124036405 | Dennis Lee Howard | Counselor | 2821 Hillegas Rd, Fort Wayne, IN 46808-3859 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1396142063 | Christina Ryder | Specialist/Technologist | 3946 Iceway, Fort Wayne, IN 46808 | 2014-11-25 |
| 1912090440 | Neighborcare of Indiana, LLC | Pharmacy | 3402 Congressional Pkwy, Ft. Wayne, IN 46808 | 2006-10-02 |
| 1619945888 | Beth Ann Herrell | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2006-03-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1750851168 | Tyler Cheney | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-28 |
| 1487123550 | Michaela Mcguire | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-19 |
| 1861961088 | Olivia Marquardt | Specialist/Technologist | 3946 Ice Way, Fort Wayne, IN 46808 | 2018-11-16 |
| Find all providers in zip 46808 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881899 | Emily H Cook | Counselor | 2130 Pemberton Dr, Fort Wayne, IN 46805-4628 | 2020-04-28 |
| 1871113274 | At Your Pace Counseling, LLC | Counselor | 6717 Sky Blue Dr, Fort Wayne, IN 46804-4648 | 2020-04-26 |
| 1962049809 | Lynne Beardsley | Counselor | 4630 W Jefferson Blvd Ste 11, Fort Wayne, IN 46804-6856 | 2019-12-10 |
| 1578108767 | Wholistic Wellness Counseling and Consulting LLC | Counselor | 1129 Rivermet Ave, Fort Wayne, IN 46805-4232 | 2019-11-11 |
| 1922654722 | Nicole Conrad | Counselor | 908 Manck Dr, Fort Wayne, IN 46814-8995 | 2019-08-16 |
| 1336794148 | Healing Through Art | Counselor | 3521 Lake Ave # B1, Fort Wayne, IN 46805-5536 | 2019-08-08 |
| 1013578749 | A.w. Holdings, LLC | Counselor | 3900 Hursh Rd, Fort Wayne, IN 46845-9677 | 2019-06-24 |
| 1811450646 | Living Waters Peace Center | Counselor | 3262 Mallard Cove Ln Ste B, Fort Wayne, IN 46804-2883 | 2019-04-09 |
| 1447718325 | Victoria Lynn Prokop | Counselor | 4656 W Jefferson Blvd Ste 210, Fort Wayne, IN 46804-6884 | 2019-03-09 |
| 1811467632 | Believe Counseling and Consulting | Counselor | 2200 Lake Ave Ste 140, Fort Wayne, IN 46805-5351 | 2018-12-05 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46808 |
Please comment or provide details below to improve the information on FAMILY CARE CENTER.
| 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.